Organization
PRIORITY HEALTH AND WELLNESS CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO ANGELITO DNP, APN,C (OWNER)
(973) 696-3868
Entity
Organization
Contact information
Practice address
930 VALLEY RD, WAYNE, NJ 07470-2900
(973) 696-3868
(800) 507-4594
Mailing address
930 VALLEY RD, WAYNE, NJ 07470-2900
(973) 696-3868
(800) 507-4594
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0400492155
NJ
261QU0200X
Urgent Care Clinic/Center
0400492155
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0228559
—
NJ
01
—
173636
MEDICARE PTAN
NJ
Enumeration date
08/06/2012
Last updated
08/06/2012
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