Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revitajuve Health and Business, PLLC

Organization Family Medicine Physician · NPI 1093499915

Revitajuve Health and Business, PLLC is a Family Medicine Physician in Allentown, Pennsylvania. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1702 W Allen St # 1560
Allentown, PA 18104-5023
Phone: (484) 393-5883
Fax: (610) 601-4749
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1093499915
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Derezil — Physician · (484) 393-5883
NPI enumeratedJune 12, 2023
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025
Mailing address1702 W Allen St # 1560, Allentown, PA 18104-5023

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