| Monroe Wellness Center, Llc | |
|
7 Centre Dr Suite 10 Monroe NJ 08831-1565 | |
| (609) 662-4714 | |
| Not Available |
| Full Name | Monroe Wellness Center, Llc |
|---|---|
| Speciality | Chiropractor |
| Location | 7 Centre Dr, Monroe, New Jersey |
| Authorized Official Name and Position | Robert Wallace (OWNER) |
| Authorized Official Contact | 6313387860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monroe Wellness Center, Llc 7 Centre Dr Suite 10 Monroe NJ 08831-1565 Ph: (631) 338-7860 | Monroe Wellness Center, Llc 7 Centre Dr Suite 10 Monroe NJ 08831-1565 Ph: (609) 662-4714 |
| NPI Number | 1245646371 |
|---|---|
| Provider Enumeration Date | 07/09/2014 |
| Last Update Date | 04/18/2016 |
| Medicare PECOS PAC ID | 6901107267 |
|---|---|
| Medicare Enrollment ID | O20151211000275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245646371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| Provider Name | Serena M Fernandez-wallace |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578687208 PECOS PAC ID: 2062651359 Enrollment ID: I20130618000168 |
| Provider Name | Robert S Wallace |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023132644 PECOS PAC ID: 2769549252 Enrollment ID: I20160112002147 |
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