Medwell LLC

NPI #1659384360 in Midland Park, New Jersey

Provider Information

NPI Number: 1659384360
Entity Type: Organization
Organization Name: Medwell LLC
Primary Specialty: General Practice
Enumeration Date: Aug 14, 2006
Last Updated: Nov 12, 2008

Practice Location

Address: 33 CENTRAL AVE
City: Midland Park
State: New Jersey
ZIP Code: 07432
Phone: (201) 689-0800

Authorized Official

Name: DR. MANOUCHEHR T SHAHAB, MD
Title: OWNER
Phone: (201) 819-1081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X
Physical Therapist	225100000X
Durable Medical Equipment & Medical Supplies	332B00000X
General Practice	208D00000X	Primary

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