Body Wellness Center LLC
Chiropractor in Clifton, NJ. Organization (NPI-2).
NPI number1417366121
StatusActive
Last updated in NPPESAug 6, 2014
Details
- NPI
- 1417366121
- Entity type
- Organization (NPI-2)
- Legal business name
- Body Wellness Center LLC
- Organization subpart
- No
- Enumeration date
- Aug 6, 2014
- Last updated
- Aug 6, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00715400 | NJ | Yes |
Practice location
716 Broad StClifton, NJ 07013-1645
Phone 201-214-4759
Mailing address
53 Forest AveWestwood, NJ 07675-3314
Authorized official
Fadi Sarkis
Owner
2012144759
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