Organization · Type 2 NPI
Longevity Medical LLC
Specialist · South Amboy, NJ
NPI number
1972779486
Active
Practice location
540 Bordentown Avenue, Suite 4200
South Amboy, NJ 08879-0157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 38MC00433200 (NJ) |
| Specialist | 174400000X | 25MA03609800 (NJ) |
| Specialist | 174400000X | 26NR12059400 (NJ) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
Other specialist providers in South Amboy
About NPI 1972779486
Longevity Medical LLC's National Provider Identifier is 1972779486, issued on May 5, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in South Amboy, NJ. The record was last updated on May 5, 2008.