Wholehealthmd PA
NPI #1457527053 in Cresskill, New Jersey
Provider Information
- NPI Number
- 1457527053
- Entity Type
- Organization
- Organization Name
- Wholehealthmd PA
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- May 2, 2008
- Last Updated
- Jun 2, 2016
Practice Location
- Address
- 110 5TH ST
- City
- Cresskill
- State
- New Jersey
- ZIP Code
- 07626-2002
- Phone
- (917) 974-7172
Authorized Official
- Name
- DR. SERGEI KOCHLATYI, MD
- Title
- PRESIDENT
- Phone
- (917) 974-7172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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