NPI 1801566336

Northeast Institute for Age Management

Organisation Plastic Surgery Physician Linwood, NJ

Practice location

Address: 401 New Rd STE 103, Linwood, NJ 08221-1200
Phone: (609) 232-7037

Authorised official

Name: Frederick Coville
Title: Sole Member
Phone: (609) 232-7037

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in New Jersey →

Registry record

NPI: 1801566336
Entity type: Organization
NPI issued: 16 Sep 2021
Record last updated: 16 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.