THE YOUTH FOUNTAIN

FREEHOLD, NJ
NPI1598190506
Doing Business AsYOUTH FOUNTAIN
Entity TypeOrganization
Authorized ContactEMIL SHAKOV
Owner
866-514-0025
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
Enumeration Date2013-09-09
Last Update Date2014-11-25
Business Address
THE YOUTH FOUNTAIN
501 IRON BRIDGE RD SUITE 9
FREEHOLD, NJ 07728-5304
Phone number: 866-514-0025
Mailing Address
THE YOUTH FOUNTAIN
501 IRON BRIDGE RD SUITE 9
FREEHOLD, NJ 07728-5304
Phone number: 866-514-0025
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