| NPI | 1366995896 |
|---|---|
| Doing Business As | PASSAIC MEDICAL & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MARK LEE Office Manager 732-429-7165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2017-12-13 |