Organization
LONGEVITY MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEWIS S. KORB D.C. (OWNER/CHIROPRACTOR)
(732) 963-9806
Entity
Organization
Contact information
Practice address
572 BROADWAY, LONG BRANCH, NJ 07740-5907
(732) 963-9806
(732) 963-9809
Mailing address
572 BROADWAY, P.O. BOX 4066, LONG BRANCH, NJ 07740-5907
(732) 963-9806
(732) 963-9809
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC04332
NJ
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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