Organization
SENIORMED CLINIC FOR AGING PA
Active
Other names
na
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROWEN GUMAPAS DIANO MD (PRESIDENT)
(973) 736-8212
Entity
Organization
Contact information
Practice address
7 JANUSON CT, WEST ORANGE, NJ 07052-3657
(973) 736-8212
(973) 736-0645
Mailing address
7 JANUSON CT, WEST ORANGE, NJ 07052-3657
(973) 736-8212
(973) 736-0645
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MA 69300
NJ
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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