Organization
REGEN MED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD FESTA (OWNER)
(724) 335-5210
Entity
Organization
Contact information
Practice address
706 STEVENSON BLVD, NEW KENSINGTON, PA 15068-5371
(724) 335-5210
Mailing address
706 STEVENSON BLVD, NEW KENSINGTON, PA 15068-5371
(724) 335-5210
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
712021
—
PA
Enumeration date
07/27/2021
Last updated
07/27/2021
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