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Contact Information

KEVIN WELLS
100 METROPLEX DR STE 200
EDISON, NJ08817-2684
 Phone: 732-235-8400
 Fax: 732-235-8395
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KEVIN WELLS · (Male)

NPI # 1588027965
Status Active
Credentials
Entity Individual
Enumeration date 04/01/2016
Last updated 07/17/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MB10722100
  • NJ Medicaid 0730564
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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