# NEW LIFE MEDICAL GROUP LLC

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

## Provider details

- **NPI number:** 1649027905
- **Authorized official:** DR. MIGUEL RIVERA MD (HEAD MANAGER)
- **Authorized official phone:** (609) 342-4650

## Contact information

- **Practice address:** 701 BUCCANEER LN, MANAHAWKIN, NJ 08050-5201
- **Practice address phone:** (609) 342-4650
- **Mailing address:** 701 BUCCANEER LN, MANAHAWKIN, NJ 08050-5201
- **Mailing address phone:** (609) 342-4650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2024
- **Last updated:** 05/03/2024