Organization
RED BANK REJUVENATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE DESIMONE M.D. (MEDICAL DIRECTOR)
(732) 383-8747
Entity
Organization
Contact information
Practice address
628 SHREWSBURY AVE, SUITE C, TINTON FALLS, NJ 07701-4932
(732) 383-8747
(732) 268-7291
Mailing address
628 SHREWSBURY AVE, SUITE C, TINTON FALLS, NJ 07701-4932
(732) 383-8747
(732) 268-7291
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA04251200
NJ
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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