MORDECAI & CARAVELLO WELLNESS LLC NPI 1407409360

NPI Information

NPI: 1407409360
Provider Name: MORDECAI & CARAVELLO WELLNESS, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 31D2173931

Address:
1401 MARLTON PIKE E STE 14
CHERRY HILL, NJ
ZIP 08034
Phone: (609) 932-5299
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MORDECAI & CARAVELLO WELLNESS, LLC is a multi-specialty clinic center in Cherry Hill, NJ. MORDECAI & CARAVELLO WELLNESS, LLC NPI is 1407409360. The provider is registered as an organization entity type.

The provider's business location address is:

1401 MARLTON PIKE E STE 14
CHERRY HILL, NJ
ZIP 08034-207
Phone: (609) 932-5299

The provider's authorized official is Andrew B Caravello .
The authorized official title is Owner and has the following contact phone number (609) 932-5299.

The CLIA number assigned to this NPI record is 31D2173931 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2019 and was last updated on 7/19/2019.

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	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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: 4/28/2024

NPI Synchronization or Removal

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