Organization · Type 2 NPI

Renew Med Spa and Clinic LLC

Medical Specialty Clinic/Center · Wayne, NJ

NPI number 1780165100 Active

Practice location

601 Hamburg Tpke Ste 101
Wayne, NJ 07470-2049

Fax (973) 942-6339

Mailing address

3 Baker St
Wayne, NJ 07470-4601

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone 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).

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About NPI 1780165100

Renew Med Spa and Clinic LLC's National Provider Identifier is 1780165100, issued on Aug 23, 2018. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Wayne, NJ. The record was last updated on Aug 23, 2018.