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Organization
ACT ON TOTAL HEALTH MEDICAL GROUP, LLC
Active
Organization
ACT ON TOTAL HEALTH MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON REGIS MD (CEO/OWNER)
(096) 272-0655
Entity
Organization
Contact information
Practice address
1634 NEW RD, NORTHFIELD, NJ 08225-1108
(609) 822-7979
(609) 822-7980
Mailing address
8025 BLACK HORSE PIKE STE 501, PLEASANTVILLE, NJ 08232-2967
(609) 822-7979
(609) 822-7980
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/28/2021
Last updated
06/11/2024
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