Provider Demographics
NPI:1114574381
Name:WELLNESS IN BERGEN INC
Entity Type:Organization
Organization Name:WELLNESS IN BERGEN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-431-5066
Mailing Address - Street 1:40 N VAN BRUNT ST # 29A
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-2740
Mailing Address - Country:US
Mailing Address - Phone:201-431-5066
Mailing Address - Fax:
Practice Address - Street 1:40 N VAN BRUNT ST # 29A
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-2740
Practice Address - Country:US
Practice Address - Phone:201-431-5066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-22
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty