Tristate Medical and Wellness, LLC
NPI #1932707452 in Verona, New Jersey
Provider Information
- NPI Number
- 1932707452
- Entity Type
- Organization
- Organization Name
- Tristate Medical and Wellness, LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Oct 16, 2020
- Last Updated
- Oct 16, 2020
Practice Location
- Address
- 19 HATHAWAY LN
- City
- Verona
- State
- New Jersey
- ZIP Code
- 07044-2306
- Phone
- (917) 294-4620
Authorized Official
- Name
- DR. JEANNETTE GONZALEZ SIMON, DO
- Title
- MEDICAL DIRECTOR
- Phone
- (917) 294-4620
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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