Basic Information
Provider Information
NPI: 1891166559
EntityType: 2
ReplacementNPI:  
OrganizationName: TODAYS WELLNESS PLLC
LastName:  
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Credential:  
OtherOrganizationName: TODAY S WELLNESS PLLC
OtherOrganizationType: 5
OtherLastName:  
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Mailing Information
Address1: 47 HIGH STREET
Address2: SUITE 101
City: NORTH ANDOVER
State: MA
PostalCode: 01845
CountryCode: US
TelephoneNumber: 9782584734
FaxNumber:  
Practice Location
Address1: 790 TURNPIKE ST
Address2:  
City: NORTH ANDOVER
State: MA
PostalCode: 018456144
CountryCode: US
TelephoneNumber: 9786872273
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/07/2015
LastUpdateDate: 01/28/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: JALEEL
AuthorizedOfficialFirstName: MOHAMMED
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: PARTNER
AuthorizedOfficialTelephone: 6172819405
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialCredential: MD
NPICertificationDate: 01/28/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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