Organization
PHMD & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVELL SCOTT (OWNER)
(917) 501-1747
Entity
Organization
Contact information
Practice address
1084 MAIN AVE, CLIFTON, NJ 07011-2330
(914) 376-6100
(914) 470-5056
Mailing address
1084 MAIN AVE, CLIFTON, NJ 07011-2330
(914) 376-6100
(914) 470-5056
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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