Organization
NEW JERSEY MEDICAL & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK LEE (ADMINISTRATOR)
(732) 429-7165
Entity
Organization
Contact information
Practice address
93 MARKET ST, PASSAIC, NJ 07055-7502
(862) 249-1010
(877) 818-7425
Mailing address
93 MARKET ST, PASSAIC, NJ 07055-7502
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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