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Organization

ACTON HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JON M REGIS MD (CEO)
(609) 226-1108
Entity
Organization

Contact information

Practice address
545 TILTON RD, NORTHFIELD, NJ 08225-1217
(609) 956-7105
(609) 241-8765
Mailing address
545 TILTON RD, NORTHFIELD, NJ 08225-1217
(609) 956-7105
(609) 241-8765

Taxonomy

Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1508880717
NPI
NJ
Enumeration date
12/08/2022
Last updated
12/08/2022
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