| Monmouth Rejuvenation, Llc | |
|
40 Broad St Eatontown NJ 07724-1553 | |
| (201) 803-3986 | |
| Not Available |
| Full Name | Monmouth Rejuvenation, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 40 Broad St, Eatontown, New Jersey |
| Authorized Official Name and Position | Eugene Desimone (OWNER) |
| Authorized Official Contact | 2018033986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monmouth Rejuvenation, Llc 40 Broad St Eatontown NJ 07724-1553 Ph: (201) 803-3986 | Monmouth Rejuvenation, Llc 40 Broad St Eatontown NJ 07724-1553 Ph: (201) 803-3986 |
| NPI Number | 1639594609 |
|---|---|
| Provider Enumeration Date | 02/26/2014 |
| Last Update Date | 02/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639594609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA04251200 (New Jersey) | Primary |
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