LONGEVITY MEDICAL GROUP, P.A.

PARAMUS, NJ
NPI1811229875
Entity TypeOrganization
Authorized ContactROGER HOWARD COLETTI
President
201-265-4647
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: NJ  MA42243)
Enumeration Date2010-02-02
Last Update Date2010-02-02
Business Address
LONGEVITY MEDICAL GROUP, P.A.
2 SEARS DR
PARAMUS, NJ 07652-3539
Phone number: 201-265-4647
Mailing Address
LONGEVITY MEDICAL GROUP, P.A.
PO BOX 8069
PARAMUS, NJ 07653-8069
Phone number: 201-265-4647
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