# TIMELESS ANTI-AGING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326464868
- **Authorized official:** DR. DANIEL DEPRINCE III D.O. (OWNER)
- **Authorized official phone:** (609) 444-7344

## Contact information

- **Practice address:** 300 W ROUTE 38, MOORESTOWN, NJ 08057-3233
- **Practice address phone:** (609) 444-7344
- **Practice address fax:** (609) 257-0666
- **Mailing address:** 300 W ROUTE 38, MOORESTOWN, NJ 08057-3233
- **Mailing address phone:** (609) 444-7344
- **Mailing address fax:** (609) 257-0666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NJ | Yes |
| 208D00000X | General Practice Physician | — | NJ | — |
| 208VP0000X | Pain Medicine Physician | — | NJ | — |

## Other

- **Enumeration date:** 03/07/2014
- **Last updated:** 03/07/2014