Provider Demographics
NPI:1417689852
Name:WELLNESS EXPRESS
Entity Type:Organization
Organization Name:WELLNESS EXPRESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEIDAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBANDAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-754-1000
Mailing Address - Street 1:991 MAIN ST STE 1B
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07503-2274
Mailing Address - Country:US
Mailing Address - Phone:973-754-1000
Mailing Address - Fax:973-754-1010
Practice Address - Street 1:50 TICE BLVD STE 340
Practice Address - Street 2:
Practice Address - City:WOODCLIFF LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07677-7681
Practice Address - Country:US
Practice Address - Phone:973-754-1000
Practice Address - Fax:973-754-1010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-24
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care