# PRINCETON LONGEVITY MEDICAL GRP LLC

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

## Provider details

- **NPI number:** 1982809604
- **Authorized official:** DR. DAVID FEIN MD (PRESIDENT)
- **Authorized official phone:** (888) 800-0752

## Contact information

- **Practice address:** 136 MAIN ST, PRINCETON, NJ 08540-5735
- **Practice address phone:** (888) 800-0752
- **Practice address fax:** (609) 430-9470
- **Mailing address:** 136 MAIN ST, PRINCETON, NJ 08540-5735
- **Mailing address phone:** (888) 800-0752
- **Mailing address fax:** (609) 430-8470

## Taxonomy

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

## Other

- **Enumeration date:** 06/21/2007
- **Last updated:** 10/06/2009