GERIATRICS AND LONGEVITY TREATMENT SPECIALIST PC NPI 1306121504

NPI Information

GERIATRICS AND LONGEVITY TREATMENT SPECIALIST, PC is a geriatric medicine family medicine in Hackensack, NJ. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. GERIATRICS AND LONGEVITY TREATMENT SPECIALIST, PC NPI is 1306121504. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

810 MAIN ST
HACKENSACK, NJ
ZIP 07601-847
Phone: (201) 663-7375

The provider's authorized official is Stefanos G Pantagis .
The authorized official title is Owner and has the following contact phone number (201) 663-7375.

The enumeration date for this NPI number is 10/19/2011 and was last updated on 11/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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