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Living Over 100 Llc
Primary Care Clinic/Center in Blairstown, New Jersey
NPI 1588355705

Living Over 100 Llc is a Primary Care Clinic/Center based in Newton, NJ and is specialized in Primary Care. Living Over 100 Llc practices in Blairstown, NJ. The NPI Number for Living Over 100 Llc is 1588355705 and holds a License No. (New Jersey).

The current practice location address for Living Over 100 Llc is 104 Route 94, Blairstown, NJ and can be reached out via phone at 862-500-1533 and via fax at 862-322-6634.

Location: 104 Route 94, Blairstown, NJ, 07860-1900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588355705
Provider Name
Living Over 100 Llc
Credential
Provider Entity Type
Organization
Address
104 Route 94, Blairstown, NJ, 07860-1900
Phone Number
862-500-1533
Fax Number
862-322-6634
Provider Enumeration Date
05/18/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
104 Route 94
City
Blairstown
State
New Jersey
Zip
07825
Phone Number
862-500-1533
Fax Number
862-322-6634
person
Provider Business Mailing Address Details
Address
104 Route 94
City
Blairstown
State
New Jersey
Zip
07825
Phone Number
862-500-1533
Fax Number
862-322-6634
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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