East-West Wellness Center
Clinic/Center in Southampton, PA. Organization (NPI-2).
NPI number1124334099
StatusActive
Last updated in NPPESAug 29, 2010
Details
- NPI
- 1124334099
- Entity type
- Organization (NPI-2)
- Legal business name
- East-West Wellness Center
- Organization subpart
- No
- Enumeration date
- Aug 29, 2010
- Last updated
- Aug 29, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | AK000721 | PA | Yes |
Practice location
649 2nd Street Pike Ste BSouthampton, PA 18966-3996
Phone 215-322-7733 · Fax 215-322-7743
Mailing address
649 2nd Street Pike Ste BSouthampton, PA 18966-3996
Phone 215-322-7733 · Fax 215-322-7743
Authorized official
Veronica I Bolhovitinova
Director
2153227733
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