Princeton Longevity Medical Grp LLC
Internal Medicine in Princeton, NJ. Organization (NPI-2).
NPI number1982809604
StatusActive
Last updated in NPPESOct 6, 2009
Details
- NPI
- 1982809604
- Entity type
- Organization (NPI-2)
- Legal business name
- Princeton Longevity Medical Grp LLC
- Organization subpart
- No
- Enumeration date
- Jun 21, 2007
- Last updated
- Oct 6, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
136 Main StPrinceton, NJ 08540-5735
Phone 888-800-0752 · Fax 609-430-9470
Mailing address
136 Main StPrinceton, NJ 08540-5735
Phone 888-800-0752 · Fax 609-430-8470
Authorized official
David Fein
President
8888000752
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