Individual
MRS. JODI MICHELE WELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, PA
Contact information
Practice address
750 BROADWAY FL 2, PATERSON, NJ 07514-1353
(973) 279-8850
Mailing address
561 E 28TH ST, PATERSON, NJ 07504-1862
(973) 769-2884
(973) 278-0450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1086480
NJ
Other
Enumeration date
06/22/2009
Last updated
06/02/2016
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