| Northeast Aesthetic Group Llc | |
|
7519 Torresdale Ave Philadelphia PA 19136-3335 | |
| (215) 335-2220 | |
| Not Available |
| Full Name | Northeast Aesthetic Group Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7519 Torresdale Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Akash Ashok Barot (MANAGING DIRECTOR) |
| Authorized Official Contact | 2159081278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Aesthetic Group Llc 7519 Torresdale Ave Philadelphia PA 19136-3335 Ph: (215) 335-2220 | Northeast Aesthetic Group Llc 7519 Torresdale Ave Philadelphia PA 19136-3335 Ph: (215) 335-2220 |
| NPI Number | 1619380532 |
|---|---|
| Provider Enumeration Date | 06/09/2014 |
| Last Update Date | 06/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619380532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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