National Provider Identifier Database

ACTIVELIFE REGENERATIVE THERAPIES
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


Contact Information

ACTIVELIFE REGENERATIVE THERAPIES
413 WANAQUE AVE
POMPTON LAKES, NJ07442-1844
Phone: 973-997-0542
Fax: 973-831-6763
Website:
Specialty Taxonomy Code
* Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for ACTIVELIFE REGENERATIVE THERAPIES

NPI Number 1225708886
Legal business name
LBN
ACTIVELIFE REGENERATIVE THERAPIES
Authorized official KENNETH WOLOSZ - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/15/2021
Last updated 01/05/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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