Revive Health And Aesthetics PC
Dermatology in East Longmeadow, Massachusetts
1104644145- Practice location
- 294 N Main St, East Longmeadow, MA 01028-1838
- Phone
- 413-224-1009
- Fax
- —
- Last updated
- September 30, 2024
Revive Health And Aesthetics PC is a healthcare organization based in East Longmeadow, MA. Revive Health And Aesthetics PC practices in East Longmeadow, MA. The NPI Number for Revive Health And Aesthetics PC is 1104644145. The current practice location address for Revive Health And Aesthetics PC is 294 N Main St, East Longmeadow, MA 01028-1838 and can be reached out via phone at 413-224-1009.
Provider Profile Details
- NPI Number
- 1104644145
- Provider Name
- Revive Health And Aesthetics PC
- Provider Entity Type
- Organization
- Address
- 294 N Main St, East Longmeadow, MA 01028-1838
- Phone Number
- 413-224-1009
- Primary Taxonomy
- Dermatology · 207N00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Adekunle A. Fajana, MD · President · 508-735-3280
- Provider Enumeration Date
- September 30, 2024
- Last Update Date
- September 30, 2024
- Certification Date
- September 30, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 294 N Main St
East Longmeadow, MA 01028-1838 - City
- East Longmeadow
- State
- Massachusetts
- Zip
- 01028-1838
- Phone Number
- 413-224-1009
Provider Business Mailing Address Details
- Address
- 294 N Main St
East Longmeadow, MA 01028-1838 - City
- East Longmeadow
- State
- MA
- Zip
- 01028-1838
- Phone Number
- 413-224-1009
License Information
- Taxonomy
- Dermatology · 207N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology providers near East Longmeadow, MA
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- Mohammad SalehStudent in an Organized Health Care Education/Training Program · NPI 1083513154
- Andrea MillerNurse Practitioner, Family · NPI 1316844053
- Healing Path PsychiatryNurse Practitioner, Psych/Mental Health · NPI 1659278612
- Edward R Toscanini, DCChiropractor · NPI 1891651832
Frequently Asked Questions
What is the NPI number of Revive Health And Aesthetics PC?
The NPI number of Revive Health And Aesthetics PC is 1104644145. It was assigned on September 30, 2024 and is currently active in the NPPES registry.
What is the specialty of Revive Health And Aesthetics PC?
Revive Health And Aesthetics PC is registered under the primary taxonomy Dermatology (code 207N00000X).
Where does Revive Health And Aesthetics PC practice?
The practice location is 294 N Main St, East Longmeadow, MA 01028-1838. The office can be reached at 413-224-1009 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104644145 directly on the NPPES registry website.