Geriatrics and Longevity Treatment Specialist, PC
NPI #1306121504 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1306121504
- Entity Type
- Organization
- Organization Name
- Geriatrics and Longevity Treatment Specialist, PC
- Primary Specialty
- Family Medicine - Geriatric Medicine
- Enumeration Date
- Oct 19, 2011
- Last Updated
- Nov 13, 2013
Practice Location
- Address
- 810 MAIN ST
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-4847
- Phone
- (201) 663-7375
Authorized Official
- Name
- DR. STEFANOS G PANTAGIS, MD
- Title
- OWNER
- Phone
- (201) 663-7375
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Geriatric Medicine — Geriatric Medicine |
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