Provider Demographics
NPI:1477880649
Name:OPTIMUM HEALTH & WELLNESS PC
Entity Type:Organization
Organization Name:OPTIMUM HEALTH & WELLNESS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OLGE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-245-2111
Mailing Address - Street 1:479 NORTH MIDLAND AVENUE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07763
Mailing Address - Country:US
Mailing Address - Phone:201-970-8380
Mailing Address - Fax:732-837-4514
Practice Address - Street 1:479 NORTH MIDLAND AVENUE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07763
Practice Address - Country:US
Practice Address - Phone:201-970-8380
Practice Address - Fax:732-837-4514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty