National Provider Identifier Database

WELLCOMECARE PHYSICIAN GROUP PC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

WELLCOMECARE PHYSICIAN GROUP PC
210 PASSAIC ST
GARFIELD, NJ07026
Phone: 973-773-3800
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for WELLCOMECARE PHYSICIAN GROUP PC

NPI Number 1407137292
Legal business name
LBN
WELLCOMECARE PHYSICIAN GROUP PC
Authorized official JOHN ANASTASI - (PARTNER/ MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/07/2011
Last updated 09/07/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 25MA08742300
  • Other: 217130YEMN MEDICARE PTAN

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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