POMEGRANATE WELLNESS HEALTH AESTHETICS NPI 1912462029

NPI Information

NPI: 1912462029
Provider Name: POMEGRANATE WELLNESS HEALTH AESTHETICS
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
203 GIRARD RD N
GLASSBORO, NJ
ZIP 08028
Phone: (973) 731-6253
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POMEGRANATE WELLNESS HEALTH AESTHETICS is a primary care clinic center in Glassboro, NJ. POMEGRANATE WELLNESS HEALTH AESTHETICS NPI is 1912462029. The provider is registered as an organization entity type.

The provider's business location address is:

203 GIRARD RD N
GLASSBORO, NJ
ZIP 08028-117
Phone: (973) 731-6253

The provider's authorized official is Pansy Harris-lane .
The authorized official title is Owner and has the following contact phone number (973) 731-6253.

The enumeration date for this NPI number is 2/2/2019 and was last updated on 2/2/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes
2	363L00000X	Nurse Practitioner				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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