Provider Demographics
NPI:1205449568
Name:ALIGN MEDICAL HEALTH & WELLNESS LLC
Entity type:Organization
Organization Name:ALIGN MEDICAL HEALTH & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUNNY
Authorized Official - Middle Name:
Authorized Official - Last Name:THAKKAR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:267-271-8938
Mailing Address - Street 1:186 PRINCETON HIGHTSTOWN RD BLDG 3B
Mailing Address - Street 2:
Mailing Address - City:WEST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-1668
Mailing Address - Country:US
Mailing Address - Phone:609-799-8444
Mailing Address - Fax:
Practice Address - Street 1:186 PRINCETON HIGHTSTOWN RD BLDG 3B
Practice Address - Street 2:
Practice Address - City:WEST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08550-1668
Practice Address - Country:US
Practice Address - Phone:609-799-8444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MA10802100OtherMEDICAL LICENSE