Organization · Type 2 NPI
Jersey Shore Rejuvination Center, LLC
General Practice Physician · Brick, NJ
NPI number
1114300225
Active
Practice location
74 Brick Blvd Ste 124
Brick, NJ 08723-7984
Fax (732) 262-0400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 25MA06352100 (NJ) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Brick
About NPI 1114300225
Jersey Shore Rejuvination Center, LLC's National Provider Identifier is 1114300225, issued on Jul 7, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Brick, NJ. The record was last updated on Jul 7, 2015.