Organization
ONE STOP WELLNESS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIRSTAR MBC (CREDENTIALING)
(386) 703-9084
Entity
Organization
Contact information
Practice address
320 CHRISTIANA MEDICAL CTR, NEWARK, DE 19702-1653
(386) 703-9084
Mailing address
51 E GARWOOD AVE, WILLIAMSTOWN, NJ 08094-1601
(386) 703-9084
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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