Center for Dynamic Aging, LLC

NPI #1235576109 in Fort Lee, New Jersey

Provider Information

NPI Number: 1235576109
Entity Type: Organization
Organization Name: Center for Dynamic Aging, LLC
Primary Specialty: Internal Medicine
Enumeration Date: May 31, 2013
Last Updated: May 31, 2013

Practice Location

Address: 1530 PALISADE AVE
City: Fort Lee
State: New Jersey
ZIP Code: 07024-5471
Phone: (201) 363-8871

Authorized Official

Name: DR. TERRI F KATZ, M.D.,
Title: PRESIDENT
Phone: (201) 363-8871

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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