Northeast Institute for Age Management

NPI #1801566336 in Linwood, New Jersey

Provider Information

NPI Number
1801566336
Entity Type
Organization
Organization Name
Northeast Institute for Age Management
Primary Specialty
Plastic Surgery
Enumeration Date
Sep 16, 2021
Last Updated
Sep 16, 2021

Practice Location

Address
401 NEW RD STE 103
ZIP Code
08221-1200
Phone
(609) 232-7037

Authorized Official

Name
FREDERICK COVILLE, MD
Title
SOLE MEMBER
Phone
(609) 232-7037

Specialties & Taxonomy Codes

Specialty
Plastic Surgery

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