Northeast Wellness Connection

NPI Provider: 1255381620
Contact Name: Cerruti A Domenic
Position: President
Phone: (213) 676-4070

Northeast Wellness Connection Information:

Northeast Wellness Connection organization have npi 1255381620, taxonomy code is 225100000X with license number is PT008976L in . This Business address located in 2869 Holm Ave, Phila, PA 19152 Pennsylvania.

Practice Location
Address: 2869 Holm Ave, Phila, PA 19152
Phone: (215) 676-4070

Business Location
Address: 2869 Holm Ave, Phila, PA 19152
Phone: (215) 676-4070
Fax: (215) 676-4071

Taxonomy

Taxonomy Code: 225100000X

License Number: PT008976L

License Number of State: PA

Primary Taxonomy Switch: Y

Enumeration Date: 5/10/2006

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