A Progressive Longevity Center,Llc in Cliffside Park - Internal Medicine
A Progressive Longevity Center,Llc - NPI 1568515500
A Progressive Longevity Center,Llc is a Internal Medicine in Cliffside Park, New Jersey. A Progressive Longevity Center,Llc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for A Progressive Longevity Center,Llc is 1568515500. The last update date is 2009-03-25.
A Progressive Longevity Center,Llc's current location address is 100 Winston Dr, Cliffside Park, New Jersey. You can contact this provider via phone number 2017610717 and fax number 2017610787. The mailing address for A Progressive Longevity Center,Llc is 100 Winston Dr, Cliffside Park, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | A Progressive Longevity Center,Llc |
|---|---|
| Address | 100 Winston Dr, Cliffside Park, New Jersey |
| Phone Number | 2017610717 |
| Fax Number | 2017610787 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Moustiatse Adelia |
| Credentials | M.D. |
| Telephone Number | 2017610717 |
NPI Number Detail
| NPI Number | 1568515500 |
|---|---|
| Provider Enumeration Date | 2007-01-21 |
| Last Updated Date | 2009-03-25 |
Provider Mailing Address Detail
| Address | 100 Winston Dr |
|---|---|
| City | Cliffside Park |
| State | New Jersey (NJ) |
| Post Code | 70103240 |
| Phone Number | 2017610717 |
| Fax Number | 2017610787 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | MA06826400 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7866305 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to A Progressive Longevity Center,Llc by the Centers for Medicare & Medicaid Services?
The A Progressive Longevity Center,Llc has been issued the NPI (National Provider Identifier) 1568515500 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where A Progressive Longevity Center,Llc's facilities are situated?
The facilities of A Progressive Longevity Center,Llc are physically located at the following address: 100 Winston Dr, Cliffside Park, NJ, 70103240.
What is A Progressive Longevity Center,Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for A Progressive Longevity Center,Llc is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
On what date did A Progressive Longevity Center,Llc receive its 1568515500 assignment from the Centers for Medicare & Medicaid Services?
The A Progressive Longevity Center,Llc was assigned its 1568515500 on 2007-01-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding A Progressive Longevity Center,Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to A Progressive Longevity Center,Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-03-25.