Organization
ACT ON TOTAL HEALTH MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON REGIS MD (CEO/OWNER)
(096) 272-0655
Entity
Organization
Contact information
Practice address
1634 NEW RD, NORTHFIELD, NJ 08225-1108
(609) 822-7979
(609) 822-7980
Mailing address
8025 BLACK HORSE PIKE STE 501, PLEASANTVILLE, NJ 08232-2967
(609) 822-7979
(609) 822-7980
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/28/2021
Last updated
06/11/2024
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