Xbody Health & Wellness Pa

NPI 1417340068 - Internal Medicine - 207R00000X

NPI Details
NPI 1417340068
Enumeration Date 03/06/2015
Last Updated 03/06/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TATYANA TATYANA
Position OWNER
Phone (973) 692-9631
Fax
Practice Location
87 BERDAN AVE
STE 4
WAYNE NJ, 07470-3210, US
Phone (973) 692-9631
Fax
Business Location
87 BERDAN AVE
STE 4
WAYNE NJ, 07470-3210, US
Phone (973) 692-9631
Fax
Toxanomy
Taxonomy Code 207R00000X
License State New Jersey
License Number 25MA07099100
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According to our database, Xbody Health & Wellness Pa NPI is 1417340068, taxonomy code is 207R00000X and license number is 25MA07099100, license state is located at New Jersey. Xbody Health & Wellness Pa physically located at 87 Berdan Ave, Wayne NJ, 07470-3210. NPI Number 1033115704 has the healthcare provider type.

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1417340068 NPI number is provided on an as is basis without warranty of any kind. 1417340068 is maintained by the National Plan & Provider Enumeration System. The contents of Xbody Health & Wellness Pa are for informational purposes only.