| NPI | 1952425621 |
|---|---|
| Doing Business As | PURE ANTI AGING MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | TATIANA SHARAHY Owner 201-444-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 25MA07099100) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: NJ 25MA07099100) |
| 207R00000X Internal Medicine (Licence: NJ 25MA07099100) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2023-04-12 |