Organization · NPI-2
Adaptive Healthcare PA
Phlebology · Oceanport, NJ
NPI number1013573047
StatusActive
Last updated in NPPESMay 30, 2019
Details
- NPI
- 1013573047
- Entity type
- Organization (NPI-2)
- Legal business name
- Adaptive Healthcare PA
- Organization subpart
- No
- Enumeration date
- May 15, 2019
- Last updated
- May 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 202K00000X | Phlebology | – | – | Yes |
Practice location
1075 Stephenson Ave Ste D-2Oceanport, NJ 07757-1242
Phone 833-223-2266 · Fax 732-783-0323
Mailing address
1075 Stephenson Ave Ste D-2Oceanport, NJ 07757-1242
Phone 833-223-2266 · Fax 732-783-0323
Authorized official
Jeremy Welwarth
Medical Director
8332232266
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