Organization
MONMOUTH REJUVENATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE DESIMONE MD (OWNER)
(201) 803-3986
Entity
Organization
Contact information
Practice address
40 BROAD ST, EATONTOWN, NJ 07724-1553
(201) 803-3986
Mailing address
40 BROAD ST, EATONTOWN, NJ 07724-1553
(201) 803-3986
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04251200
NJ
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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