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Active Aging Medical Group Inc
Medical Specialty Clinic/Center in Newark, New Jersey
NPI 1720368772

Active Aging Medical Group Inc is a Medical Specialty Clinic/Center based in Newark, NJ and is specialized in Medical Specialty. Active Aging Medical Group Inc practices in Newark, NJ. The NPI Number for Active Aging Medical Group Inc is 1720368772 and holds a License No. (New Jersey).

The current practice location address for Active Aging Medical Group Inc is 188 Jefferson St, Newark, NJ and can be reached out via phone at 732-425-3564 and via fax at 212-238-7760.

Location: 188 Jefferson St, Newark, NJ, 07105-1622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720368772
Provider Name
Active Aging Medical Group Inc
Credential
Provider Entity Type
Organization
Address
188 Jefferson St, Newark, NJ, 07105-1622
Phone Number
732-425-3564
Fax Number
212-238-7760
Provider Enumeration Date
08/23/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
188 Jefferson St
City
Newark
State
New Jersey
Zip
07105-1622
Phone Number
732-425-3564
Fax Number
212-238-7760
person
Provider Business Mailing Address Details
Address
188 Jefferson St
City
Newark
State
New Jersey
Zip
07105-1622
Phone Number
732-425-3564
Fax Number
212-238-7760
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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