Keep Glowing Medical Spa LLC
NPI #1295447407 in Tinton Falls, New Jersey
Provider Information
- NPI Number
- 1295447407
- Entity Type
- Organization
- Organization Name
- Keep Glowing Medical Spa LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Dec 19, 2022
- Last Updated
- Jan 17, 2023
Practice Location
- Address
- 4057 ASBURY AVE STE 21
- City
- Tinton Falls
- State
- New Jersey
- ZIP Code
- 07753-7700
- Phone
- (848) 217-2662
Authorized Official
- Name
- DR. MICHAEL J ELLIS, DO
- Title
- OWNER
- Phone
- (848) 217-2660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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