Longevity Medical LLC

NPI #1972779486 in South Amboy, New Jersey

Provider Information

NPI Number: 1972779486
Entity Type: Organization
Organization Name: Longevity Medical LLC
Primary Specialty: Specialist
Enumeration Date: May 5, 2008
Last Updated: May 5, 2008

Practice Location

Address: 540 BORDENTOWN AVENUE
Address 2: SUITE 4200
City: South Amboy
State: New Jersey
ZIP Code: 08879-0157
Phone: (732) 721-6789

Authorized Official

Name: LEWIS KORB, D.C.
Title: PRESIDENT
Phone: (732) 721-6789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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