BALANCED WELL MEDICAL NETWORK NPI 1295181584

NPI Information

  • NPI: 1295181584
  • Provider Name: BALANCED WELL MEDICAL NETWORK
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 23-08 MAPLE AVE
    FAIR LAWN, NJ
    ZIP 07410
  • Phone: (201) 794-4500

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NPI Details

BALANCED WELL MEDICAL NETWORK is a family medicine in Fair Lawn, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BALANCED WELL MEDICAL NETWORK NPI is 1295181584. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

23-08 MAPLE AVE
FAIR LAWN, NJ
ZIP 07410-583
Phone: (201) 794-4500
Fax: (201) 794-4502

The provider's authorized official is Roth Leon Riley .
The authorized official title is Director and has the following contact phone number (201) 794-4500.

The enumeration date for this NPI number is 5/5/2016 and was last updated on 5/5/2016.

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
1207Q00000XFamily Medicine25MA09551100NEW JERSEYYes

What is NPI?

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This page was last updated on: 11/21/2025

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