| Organization Name: | COMMUNITY FAMILY HEALTH AND WELLNESS CENTER INC. |
| NPI Number: | 1184668493 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICHOLAS VINCENT CAMPANELLA (SECRATERY) |
| Mailing Address: | 909 Ringwood Ave Haskell |
| State: | NJ US |
| Postal Code: | 074201343 |
| Phone Number: | 9738316700 |
| Fax Number: | 9738316703 |
| NPI Enumeration Date: | 06/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NJ00076500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |