Organization
IVY LEAGUE HEALTH & FITNESS
Active
Other names
SOURCE Institute for Human Performance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID NOGAKI C.S.C.S (DIRECTOR OF TRAINING)
(609) 925-1159
Entity
Organization
Contact information
Practice address
66 WITHERSPOON ST, PRINCETON, NJ 08542-3239
(609) 925-1159
Mailing address
66 WITHERSPOON ST, PMB 403, PRINCETON, NJ 08542-3226
(609) 925-1159
(609) 925-1159
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/04/2008
Last updated
10/30/2011
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