| Jersey Shore Rejuvination Center, Llc | |
|
74 Brick Blvd Ste 124 Brick NJ 08723-7984 | |
| (732) 262-2809 | |
| (732) 262-0400 |
| Full Name | Jersey Shore Rejuvination Center, Llc |
|---|---|
| Speciality | General Practice |
| Location | 74 Brick Blvd Ste 124, Brick, New Jersey |
| Authorized Official Name and Position | Gabriele P Jasper (MANAGING MEMBER) |
| Authorized Official Contact | 7322622809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jersey Shore Rejuvination Center, Llc 74 Brick Blvd Ste 124 Brick NJ 08723-7984 Ph: (732) 262-2809 | Jersey Shore Rejuvination Center, Llc 74 Brick Blvd Ste 124 Brick NJ 08723-7984 Ph: (732) 262-2809 |
| NPI Number | 1114300225 |
|---|---|
| Provider Enumeration Date | 07/07/2015 |
| Last Update Date | 07/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114300225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 25MA06352100 (New Jersey) | Primary |
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