Provider Demographics
NPI:1326782160
Name:HEALTH & WELLNESS CONCIERGE
Entity Type:Organization
Organization Name:HEALTH & WELLNESS CONCIERGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STETZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-606-2170
Mailing Address - Street 1:103A EDINBURGH LN
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-6340
Mailing Address - Country:US
Mailing Address - Phone:732-606-2170
Mailing Address - Fax:
Practice Address - Street 1:103A EDINBURGH LN
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-6340
Practice Address - Country:US
Practice Address - Phone:732-606-2170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service