Lakewood Wellness Center, LLC

NPI #1114097367 in Lakewood, New Jersey

Provider Information

NPI Number: 1114097367
Entity Type: Organization
Organization Name: Lakewood Wellness Center, LLC
Primary Specialty: Chiropractor
Enumeration Date: Nov 8, 2006
Last Updated: Oct 17, 2008

Practice Location

Address: 1700 MADISON AVE
City: Lakewood
State: New Jersey
ZIP Code: 08701-1253
Phone: (732) 363-7900

Authorized Official

Name: DR. STUART JEFFREY PODOB, D.C.
Title: PRESIDENT
Phone: (732) 363-7900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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