Organization
REJUV AESTHETIC GYNECOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDSEL ANTONIO DO (PROVIDER)
(732) 841-0772
Entity
Organization
Contact information
Practice address
285 DURHAM AVE STE 1A, SOUTH PLAINFIELD, NJ 07080-2555
(732) 338-0228
(201) 485-6792
Mailing address
285 DURHAM AVE, STE 1A BLDG 6, SOUTH PLAINFIELD, NJ 07080-2546
(732) 338-0228
(201) 485-6792
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
25MB09742100
NJ
Other
Enumeration date
10/24/2017
Last updated
03/26/2018
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