Organization
NORTHEAST INSTITUTE FOR AGE MANAGEMENT
Active
Other names
Rejuvenesssence Age Management
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK COVILLE MD (SOLE MEMBER)
(609) 232-7037
Entity
Organization
Contact information
Practice address
401 NEW RD STE 103, LINWOOD, NJ 08221-1200
(609) 232-7037
Mailing address
401 NEW RD STE 103, LINWOOD, NJ 08221-1200
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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