Provider Demographics
NPI:1477764884
Name:ATLANTIS HEALTH AND WELLNESS PC
Entity Type:Organization
Organization Name:ATLANTIS HEALTH AND WELLNESS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:D
Authorized Official - Last Name:SALAMONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-271-1992
Mailing Address - Street 1:600 PLAZA DR
Mailing Address - Street 2:HARMON MEADOW PLAZA
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07094
Mailing Address - Country:US
Mailing Address - Phone:201-271-1992
Mailing Address - Fax:201-271-7640
Practice Address - Street 1:600 PLAZA DR
Practice Address - Street 2:HARMON MEADOW PLAZA
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094
Practice Address - Country:US
Practice Address - Phone:201-271-1992
Practice Address - Fax:201-271-7640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty