Provider Demographics
NPI:1255130241
Name:HOBOKEN WOMEN'S WELLNESS
Entity type:Organization
Organization Name:HOBOKEN WOMEN'S WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MOLLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLLERS SURKIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:917-549-9140
Mailing Address - Street 1:204 2ND ST
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-3735
Mailing Address - Country:US
Mailing Address - Phone:201-420-6988
Mailing Address - Fax:
Practice Address - Street 1:204 2ND ST
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-3735
Practice Address - Country:US
Practice Address - Phone:201-420-6988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty