REJUVENATION MEDICINE LLC NPI 1679093546

NPI Information

  • NPI: 1679093546
  • Provider Name: REJUVENATION MEDICINE LLC
  • Classification: Internal Medicine - 207RX0202X
  • Specialization: Medical Oncology
  • Entity Type: Organization
  • Address: 830 GARRISON AVE
    TEANECK, NJ
    ZIP 07666
  • Phone: (201) 785-7997

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NPI Details

REJUVENATION MEDICINE LLC is a medical oncology internal medicine in Teaneck, NJ. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. REJUVENATION MEDICINE LLC NPI is 1679093546. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

830 GARRISON AVE
TEANECK, NJ
ZIP 07666-542
Phone: (201) 785-7997
Fax: (201) 962-3878

The provider's authorized official is Grace Candelario .
The authorized official title is Owner and has the following contact phone number (201) 962-3878.

The enumeration date for this NPI number is 6/22/2017 and was last updated on 7/11/2017.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RX0202XInternal MedicineMedical Oncology25MA09608700NEW JERSEYYes

What is NPI?

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This page was last updated on: 11/21/2025

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