Organization · Type 2 NPI

Broad Street Wellness Center

General Practice Physician · Clifton, NJ

NPI number 1235371576 Active

Practice location

642 Broad St, 2nd Fl; Ste 9
Clifton, NJ 07013-1615

Mailing address

PO Box 476
Roseland, NJ 07068-0476

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

14 other providers at this address

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About NPI 1235371576

Broad Street Wellness Center's National Provider Identifier is 1235371576, issued on Apr 1, 2009. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Clifton, NJ. The record was last updated on Jun 17, 2009.