21st Century Total Health Clinic PC
NPI #1679909030 in Orange, New Jersey
Provider Information
- NPI Number
- 1679909030
- Entity Type
- Organization
- Organization Name
- 21st Century Total Health Clinic PC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Sep 17, 2013
- Last Updated
- Aug 4, 2016
Practice Location
- Address
- 439 MAIN ST
- Address 2
- SUITE 101
- City
- Orange
- State
- New Jersey
- ZIP Code
- 07050-1523
- Phone
- (973) 675-8700
Authorized Official
- Name
- KESNOLD BAPTISTE, DC
- Title
- PRESIDENT
- Phone
- (908) 625-7463
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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