Organization · Type 2 NPI
Longevity Clinical LTC Associates of New Jersey
Primary Care Nurse Practitioner · Lakewood, NJ
NPI number
1376114322
Active
Practice location
527 River Ave
Lakewood, NJ 08701-4722
Mailing address
11770 US Highway 1 Ste 102E
Palm Beach Gardens, FL 33408-3052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | None listed |
| Gerontology Nurse Practitioner | 363LG0600X | None listed |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
Other primary care nurse practitioner providers in Lakewood
About NPI 1376114322
Longevity Clinical LTC Associates of New Jersey's National Provider Identifier is 1376114322, issued on Jul 9, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Lakewood, NJ. The record was last updated on Jul 9, 2021.