| Wellness Consultation Services Llc | |
|
8 Old Bridge Tpke South River NJ 08882-2400 | |
| (732) 390-4888 | |
| (732) 390-0255 |
| Full Name | Wellness Consultation Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8 Old Bridge Tpke, South River, New Jersey |
| Authorized Official Name and Position | Betsy Rochelle Dubov (PRESIDENT) |
| Authorized Official Contact | 7328161651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Consultation Services Llc 6 Aspen Ct East Brunswick NJ 08816-3345 Ph: (732) 816-1651 | Wellness Consultation Services Llc 8 Old Bridge Tpke South River NJ 08882-2400 Ph: (732) 390-4888 |
| NPI Number | 1306089792 |
|---|---|
| Provider Enumeration Date | 04/14/2009 |
| Last Update Date | 04/14/2009 |
| Medicare PECOS PAC ID | 8527118918 |
|---|---|
| Medicare Enrollment ID | O20090605000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306089792 | NPI | - | NPPES |
| 053650 | Other | NJ | MEDICARE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 00634638 (Illinois) | Primary |
| Provider Name | Betsy R Dubov |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386817856 PECOS PAC ID: 3577590074 Enrollment ID: I20050726000531 |
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