Golden Age Sadc

NPI 1053682187 - Clinic/Center - 261QA0600X

NPI Details
NPI 1053682187
Enumeration Date 01/20/2012
Last Updated 01/20/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name STEVEN STEVEN
Position PRESIDENT
Phone (201) 675-8754
Fax
Practice Location
3601 KINGS HWY
E1
BROOKLYN NY, 11234-2747, US
Phone (201) 675-8754
Fax
Business Location
818 RAVENS CREST DR E
PLAINSBORO NJ, 08536-2465, US
Phone
Fax
Toxanomy
Taxonomy Code 261QA0600X
License State
License Number
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According to our database, Golden Age Sadc NPI is 1053682187, taxonomy code is 261QA0600X Golden Age Sadc physically located at 3601 Kings Hwy, Brooklyn NY, 11234-2747. NPI Number 1033115704 has the healthcare provider type.

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1053682187 NPI number is provided on an as is basis without warranty of any kind. 1053682187 is maintained by the National Plan & Provider Enumeration System. The contents of Golden Age Sadc are for informational purposes only.