Organization
RENEW MED SPA AND CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M MATIER MD (OWNER)
(973) 809-4186
Entity
Organization
Contact information
Practice address
601 HAMBURG TPKE STE 101, WAYNE, NJ 07470-2049
(973) 942-4449
(973) 942-6339
Mailing address
3 BAKER ST, WAYNE, NJ 07470-4601
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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