Provider Demographics
NPI:1043825250
Name:RECOVERY WELLNESS GROUP
Entity Type:Organization
Organization Name:RECOVERY WELLNESS GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SHLOMO
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENZWEIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:094-028-6036
Mailing Address - Street 1:205 W PARKWAY DR
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-5105
Mailing Address - Country:US
Mailing Address - Phone:609-645-2500
Mailing Address - Fax:
Practice Address - Street 1:205 W PARKWAY DR
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-5105
Practice Address - Country:US
Practice Address - Phone:609-645-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Multi-Specialty