Organization
TIMELESS ANTI-AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL DEPRINCE III D.O. (OWNER)
(609) 444-7344
Entity
Organization
Contact information
Practice address
300 W ROUTE 38, MOORESTOWN, NJ 08057-3233
(609) 444-7344
(609) 257-0666
Mailing address
300 W ROUTE 38, MOORESTOWN, NJ 08057-3233
(609) 444-7344
(609) 257-0666
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NJ
208D00000X
General Practice Physician
—
NJ
208VP0000X
Pain Medicine Physician
—
NJ
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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