Active Health Marlton LLC
Family Medicine in Marlton, NJ. Organization (NPI-2).
NPI number1265161905
StatusActive
Last updated in NPPESJun 8, 2022
Details
- NPI
- 1265161905
- Entity type
- Organization (NPI-2)
- Legal business name
- Active Health Marlton LLC
- Organization subpart
- No
- Enumeration date
- Jun 8, 2022
- Certification date
- Jun 8, 2022
- Last updated
- Jun 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 111N00000X | Chiropractor | – | – |
Other names
- Active Joint And Spine Institute (Doing Business As)
Practice location
601 Route 73 N Ste 104Marlton, NJ 08053-3472
Phone 609-886-8585
Mailing address
1501 Route 47Rio Grande, NJ 08242-1401
Phone 609-886-8585
Authorized official
Robert Olivieri
Authorized Official
6098868585
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Medicine providers in Marlton, NJ
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.