Organization
REJUVEINATE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM R LEHMAN MD (AUTHORIZED REPRESENTATIVE)
(718) 222-5999
Entity
Organization
Contact information
Practice address
1 N WASHINGTON AVE, BERGENFIELD, NJ 07621-2125
(443) 414-8201
Mailing address
28 HEIGHTS RD, CLIFTON, NJ 07012-1215
(443) 414-8201
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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