Organization
CENTER FOR DYNAMIC AGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRI F KATZ M.D., (PRESIDENT)
(201) 363-8871
Entity
Organization
Contact information
Practice address
1530 PALISADE AVE, FORT LEE, NJ 07024-5471
(201) 363-8871
(201) 363-8873
Mailing address
1530 PALISADE AVE, FORT LEE, NJ 07024-5471
(201) 363-8871
(201) 363-8873
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA063457
NJ
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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