Provider Demographics
NPI:1003548835
Name:INDUSTRIAL STRENGTH FITNESS WELLNESS CENTER LLC
Entity Type:Organization
Organization Name:INDUSTRIAL STRENGTH FITNESS WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:YADIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-601-0303
Mailing Address - Street 1:584 32ND ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-2434
Mailing Address - Country:US
Mailing Address - Phone:201-601-0303
Mailing Address - Fax:
Practice Address - Street 1:584 32ND ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-2434
Practice Address - Country:US
Practice Address - Phone:201-601-0303
Practice Address - Fax:201-601-8040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy