Organization
AVIV HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANA SICHEL (CHIEF MEDICAL OFFICER)
(347) 496-5589
Entity
Organization
Contact information
Practice address
28 FLANNERY AVE, LAKEWOOD, NJ 08701-4750
(732) 267-8747
Mailing address
28 FLANNERY AVE, LAKEWOOD, NJ 08701-4750
(732) 267-8747
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
07/08/2021
Last updated
12/24/2021
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