| Nu Forma Wellness Nj South Llc | |
|
325 Brick Blvd Brick NJ 08723-6075 | |
| (212) 448-5996 | |
| Not Available |
| Full Name | Nu Forma Wellness Nj South Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 325 Brick Blvd, Brick, New Jersey |
| Authorized Official Name and Position | Francis Onwochei (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5166034284 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nu Forma Wellness Nj South Llc 127 Valley Rd Montclair NJ 07042-2370 Ph: () - | Nu Forma Wellness Nj South Llc 325 Brick Blvd Brick NJ 08723-6075 Ph: (212) 448-5996 |
| NPI Number | 1326892936 |
|---|---|
| Provider Enumeration Date | 04/11/2024 |
| Last Update Date | 04/11/2024 |
| Medicare PECOS PAC ID | 2961947114 |
|---|---|
| Medicare Enrollment ID | O20240711002032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326892936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Francis O Onwochei |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225404650 PECOS PAC ID: 7719258037 Enrollment ID: I20180702001307 |
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