Organization · Type 2 NPI
Active Aging Medical Group Inc
Medical Specialty Clinic/Center · Newark, NJ
Practice location
188 Jefferson St, SUITE# 111
Newark, NJ 07105-1622
Fax (212) 238-7760
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | None listed |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Another provider at this address
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About NPI 1720368772
Active Aging Medical Group Inc's National Provider Identifier is 1720368772, issued on Aug 23, 2011. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Newark, NJ. The record was last updated on Aug 23, 2011.