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Revital Retreat, Llc
Health Service Clinic/Center in Piscataway, New Jersey
NPI 1366169989

Revital Retreat, Llc is a Health Service Clinic/Center based in Piscataway, NJ and is specialized in Health Service. Revital Retreat, Llc practices in Piscataway, NJ. The NPI Number for Revital Retreat, Llc is 1366169989 and holds a License No. (New Jersey).

The current practice location address for Revital Retreat, Llc is 371 Hoes Ln Ste 200, Piscataway, NJ and can be reached out via phone at 732-660-8029 and via fax at 732-358-2921.

Location: 371 Hoes Ln Ste 200, Piscataway, NJ, 08854-4143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366169989
Provider Name
Revital Retreat, Llc
Credential
Provider Entity Type
Organization
Address
371 Hoes Ln Ste 200, Piscataway, NJ, 08854-4143
Phone Number
732-660-8029
Fax Number
732-358-2921
Provider Enumeration Date
10/25/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1881653608 05 NJ
institution
Provider Business Practice Location Address Details
Address
371 Hoes Ln Ste 200
City
Piscataway
State
New Jersey
Zip
08854-4143
Phone Number
732-660-8029
Fax Number
732-358-2921
person
Provider Business Mailing Address Details
Address
371 Hoes Ln Ste 200
City
Piscataway
State
New Jersey
Zip
08854-4143
Phone Number
732-660-8029
Fax Number
732-358-2921
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
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Definition
Definition to come...
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