Wellcare of New Jersey, Inc.

NPI #1427039379 in Lodi, New Jersey

Provider Information

NPI Number
1427039379
Entity Type
Organization
Organization Name
Wellcare of New Jersey, Inc.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Nov 8, 2005
Last Updated
Jul 21, 2022

Practice Location

Address
410 GARIBALDI AVE
Address 2
UNIT B
City
Lodi
ZIP Code
07644-3710
Phone
(973) 777-3196

Authorized Official

Name
MR. DANIEL JACKSON
Title
PRESIDENT
Phone
(973) 777-3196

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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