Renew Med Spa and Clinic LLC
NPI #1780165100 in Wayne, New Jersey
Provider Information
- NPI Number
- 1780165100
- Entity Type
- Organization
- Organization Name
- Renew Med Spa and Clinic LLC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Aug 23, 2018
- Last Updated
- Aug 23, 2018
Practice Location
- Address
- 601 HAMBURG TPKE STE 101
- City
- Wayne
- State
- New Jersey
- ZIP Code
- 07470-2049
- Phone
- (973) 942-4449
Authorized Official
- Name
- JENNIFER M MATIER, MD
- Title
- OWNER
- Phone
- (973) 809-4186
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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