ACTIVE AGING MEDICAL GROUP INC is a medical specialty clinic center in Newark, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ACTIVE AGING MEDICAL GROUP INC NPI is 1720368772. The provider is registered as an organization entity type.
The provider's business location address is:
188 JEFFERSON ST
SUITE# 111
NEWARK, NJ
ZIP 07105-622
Phone: (732) 425-3564
Fax: (212) 238-7760
The provider's authorized official is Alexander Kolessa .
The authorized official title is Chief Medical Officer and has the following contact phone number (732) 425-3564.
The enumeration date for this NPI number is 8/23/2011 and was last updated on 8/23/2011.