| Organization Name: | NEW JERSEY WOMENS WELLNESS CENTER LLC |
| NPI Number: | 1437468550 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CINDY PARNES (MANAGING MEMBER) |
| Mailing Address: | 305 W Grand Ave Montvale |
| State: | NJ US |
| Postal Code: | 076451813 |
| Phone Number: | 2015018500 |
| Fax Number: | 2015018523 |
| NPI Enumeration Date: | 10/07/2010 |
| NPI Last Update Date: | 09/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |