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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRI STATE HEALTH AND WELLNESS MEDICAL CARE CENTER PC

Active Organization

General Practice · FAIR LAWN, NJ

Registration Details

NPI Number
1154661593
Provider Type
Organization
NPI Issued
Feb 21, 2013 (13.165152388514 yrs)
Last Updated
Feb 21, 2013
Licenses
25MB06860100 (NJ)
25MB06860100 (NJ)
25MB06860100 (NJ)
25MB06860100 (NJ)
25MB06860100 (NJ)

Practice Information

Address
31-00 BROADWAY 1ST FLOOR
FAIR LAWN, NJ, 07410
Browse NJ providers · Browse ZIP 07410
Phone
2017415891
Fax
2017917337
Primary Specialty
General Practice
208D00000X
Additional Specialty
Adolescent Medicine
Additional Specialty
Allergy & Immunology

Other General Practice Organizations in FAIR LAWN, NJ

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.