ACTIVELIFE REGENERATIVE THERAPIES

POMPTON LAKES, NJ
NPI1225708886
Entity TypeOrganization
Authorized ContactKENNETH WOLOSZ
Owner
973-997-0542
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2021-09-15
Last Update Date2022-01-05
Business Address
ACTIVELIFE REGENERATIVE THERAPIES
413 WANAQUE AVE
POMPTON LAKES, NJ 07442-1844
Phone number: 973-997-0542
Mailing Address
ACTIVELIFE REGENERATIVE THERAPIES
413 WANAQUE AVE
POMPTON LAKES, NJ 07442-1844
Phone number: 973-997-0542