Provider Demographics
NPI:1558489922
Name:ELITE FAMILY WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:ELITE FAMILY WELLNESS CENTER, LLC
Other - Org Name:DR. WILLIAM F. PUGLISI
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:F
Authorized Official - Last Name:PUGLISI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-890-0360
Mailing Address - Street 1:195 US HIGHWAY 46
Mailing Address - Street 2:SUITE 8
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-1824
Mailing Address - Country:US
Mailing Address - Phone:973-890-0360
Mailing Address - Fax:973-890-0367
Practice Address - Street 1:195 US HIGHWAY 46
Practice Address - Street 2:SUITE 8
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-1824
Practice Address - Country:US
Practice Address - Phone:973-890-0360
Practice Address - Fax:973-890-0367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00247400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty