Active Aging Medical Group Inc
Active Aging Medical Group Inc is a Medical Specialty Clinic/Center in Newark, New Jersey. Registered with an NPI since 2011.
- In the registry since
- 2011
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
188 Jefferson St Suite# 111Newark, NJ 07105-1622
Phone: (732) 425-3564
Fax: (212) 238-7760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X |
|---|
Record details
| NPI number | 1720368772 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alexander Kolessa — Chief Medical Officer · (732) 425-3564 |
| NPI enumerated | August 23, 2011 |
| Last updated in NPPES | August 23, 2011 |
| Mailing address | 188 Jefferson St, Suite# 111, Newark, NJ 07105-1622 |
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