Organization
GOLDEN AGE ADULT SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GALINA MARKOVICH MD (OWNER)
(516) 693-0700
Entity
Organization
Contact information
Practice address
21 CANDLE LN, E BRUNSWICK, NJ 08816-3202
(516) 693-0700
Mailing address
21 CANDLE LN, E BRUNSWICK, NJ 08816-3202
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR08972100
NJ
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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