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Organization
JOUVENCE LLC
Active
Organization
JOUVENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LODZE STECKMAN M.D. (OWNER)
(781) 254-3091
Entity
Organization
Contact information
Practice address
277 PIPING ROCK RD, LOCUST VALLEY, NY 11560-2504
(781) 254-3091
Mailing address
277 PIPING ROCK RD, LOCUST VALLEY, NY 11560-2504
(781) 254-3091
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
256450
NY
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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