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Organization
REJUVYO HEALTH
Active
Organization
REJUVYO HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA ZITOMER (EVP)
(215) 858-3142
Entity
Organization
Contact information
Practice address
20 S 3RD ST STE 210, COLUMBUS, OH 43215-4206
(614) 296-4941
Mailing address
1735 MARKET ST STE 3750, PHILADELPHIA, PA 19103-7532
(866) 735-8896
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
Other
Enumeration date
11/22/2019
Last updated
09/02/2020
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