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Longevity Medical Llc
Specialist in South Amboy, New Jersey
NPI 1972779486

Longevity Medical Llc is a Specialist based in South Amboy, NJ. Longevity Medical Llc practices in South Amboy, NJ. The NPI Number for Longevity Medical Llc is 1972779486 and holds a License No. 38MC00433200 (New Jersey).

The current practice location address for Longevity Medical Llc is 540 Bordentown Avenue, South Amboy, NJ and can be reached out via phone at 732-721-6789.

Location: 540 Bordentown Avenue, South Amboy, NJ, 08879-0157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972779486
Provider Name
Longevity Medical Llc
Credential
Provider Entity Type
Organization
Address
540 Bordentown Avenue, South Amboy, NJ, 08879-0157
Phone Number
732-721-6789
Fax Number
Provider Enumeration Date
05/05/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
088771 01 NJ MEDICARE IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
540 Bordentown Avenue
City
South Amboy
State
New Jersey
Zip
08879-0157
Phone Number
732-721-6789
Fax Number
person
Provider Business Mailing Address Details
Address
540 Bordentown Avenue
City
South Amboy
State
New Jersey
Zip
08879-0157
Phone Number
732-721-6789
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
38MC00433200 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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