Organization
WELLSPINE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORESTE SANTANA (OWNER)
(908) 355-3949
Entity
Organization
Contact information
Practice address
612 3RD AVE, ELIZABETH, NJ 07202-3989
(908) 355-3949
Mailing address
612 3RD AVE, ELIZABETH, NJ 07202-3989
(908) 355-3949
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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