PA GREEN WELLNESS NPI 1679191142

NPI Information

  • NPI: 1679191142
  • Provider Name: PA GREEN WELLNESS
  • Classification: Clinic/Center - 261QP3300X
  • Specialization: Pain
  • Entity Type: Organization
  • Address: 1150 FIRST AVE STE 950
    KING OF PRUSSIA, PA
    ZIP 19406
  • Phone: (610) 909-2207

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NPI Details

PA GREEN WELLNESS is a pain clinic center in King Of Prussia, PA. PA GREEN WELLNESS NPI is 1679191142. The provider is registered as an organization entity type.

The provider's business location address is:

1150 FIRST AVE STE 950
KING OF PRUSSIA, PA
ZIP 19406-371
Phone: (610) 909-2207
Fax: (888) 371-6433

The provider's authorized official is John Cellini .
The authorized official title is President and has the following contact phone number (610) 909-2207.

The enumeration date for this NPI number is 7/10/2020 and was last updated on 7/21/2020.

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
1261QP3300XClinic/CenterPainYes

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: 11/21/2025

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