Organization
AGELESS NJ LLC
Active
Other names
Ageless Men's Health
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WILKINSON (DIRECTOR OF BUSINESS OPERATIONS)
(602) 796-2559
Entity
Organization
Contact information
Practice address
725 RIVER RD STE 108, EDGEWATER, NJ 07020-1170
(901) 757-3643
Mailing address
725 RIVER RD STE 108, EDGEWATER, NJ 07020-1170
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
12/19/2024
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