Organization
REVIVE HEALTH AND AESTHETICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEKUNLE A. FAJANA MD (PRESIDENT)
(508) 735-3280
Entity
Organization
Contact information
Practice address
294 N MAIN ST, EAST LONGMEADOW, MA 01028-1838
(413) 224-1009
Mailing address
294 N MAIN ST, EAST LONGMEADOW, MA 01028-1838
(413) 224-1009
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up