Wellcare Tccm

NPI #1982245932 in Hackensack, New Jersey

Provider Information

NPI Number: 1982245932
Entity Type: Organization
Organization Name: Wellcare Tccm
Primary Specialty: Internal Medicine
Enumeration Date: Oct 1, 2019
Last Updated: Oct 22, 2019

Practice Location

Address: 250 MOORE ST
City: Hackensack
State: New Jersey
ZIP Code: 07601-7506
Phone: (201) 686-8734

Authorized Official

Name: KAITLYN GOMEZ
Title: OWNER
Phone: (201) 686-8734

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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