Broad Street Wellness Center

LBN: Broad Street Wellness Center
Broad Street Wellness Center is an health care organization with primary practice located at 642 Broad St 2Nd Fl; Ste 9, Clifton NJ 07013-1615. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Broad Street Wellness Center can be contacted via phone (973) 614-9500, or through Belozersky, Marina via phone (973) 614-9500.

Contact Information

Primary practice address
642 Broad St 2Nd Fl; Ste 9 Clifton NJ 07013-1615
Phone: (973) 614-9500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Belozersky, Marina CPA
Phone: (973) 614-9500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X New Jersey

Profile Details

NPI number 1235371576
LBN Legal business name Broad Street Wellness Center
DBA Doing business as
Authorized official Belozersky, Marina CPA
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2009
Last updated Jun 17th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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