A PROGRESSIVE LONGEVITY CENTER,LLC

JERSEY CITY, NJ
NPI1568515500
Entity TypeOrganization
Authorized ContactADELIA MOUSTIATSE
Owner
201-761-0717
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NJ  MA06826400)
Enumeration Date2007-01-21
Last Update Date2009-03-25
Business Address
A PROGRESSIVE LONGEVITY CENTER,LLC
2555 JOHN F KENNEDY BLVD D
JERSEY CITY, NJ 07304-2165
Phone number: 201-761-0717
Mailing Address
A PROGRESSIVE LONGEVITY CENTER,LLC
100 WINSTON DR 5 HS
CLIFFSIDE PARK, NJ 07010-3240
Phone number: 201-761-0717
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