Organization · Type 2 NPI

Ageless NJ LLC

Primary Care Clinic/Center · Edgewater, NJ

NPI number 1023608734 Active

Practice location

725 River Rd Ste 108
Edgewater, NJ 07020-1170

Call (901) 757-3643 Map

Other practice locations

1949 Route 70 E Ste 7, Cherry Hill, NJ 08003-2145 · (201) 496-6491

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	None listed

Primary Care Clinic/Center: Definition to come...

Another provider at this address

Kathleen Cano BaamondeNurse Practitioner Edgewater, NJ NPI 1467083717

Other primary care clinic/center providers in Edgewater

Transpacific Wellness P.c.Primary Care Clinic/Center Edgewater, NJ NPI 1295482016

See all in Edgewater →

NPI record

NPI: 1023608734
Entity type: Organization (Type 2)
Issued: Jan 26, 2021
Last updated: Dec 19, 2024
Status: Active

Other names

<unavail>
Ageless Men's Health · doing business as
Ageless Men's Health · doing business as

Authorized official

Amanda Wilkinson
Director of Business Operations
(602) 796-2559

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023608734

Ageless NJ LLC's National Provider Identifier is 1023608734, issued on Jan 26, 2021. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Edgewater, NJ. The record was last updated on Dec 19, 2024.