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Contact Information

MEDWELL LLC
33 CENTRAL AVE
MIDLAND PARK, NJ07432
 Phone: 201-689-0800
 Fax: 201-689-0871
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MEDWELL LLC

NPI # 1659384360
LBN Legal business name MEDWELL LLC
Authorized official MANOUCHEHR SHAHAB - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/14/2006
Last updated 11/12/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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