National Provider Identifier Database

NU AGE MEDICINE LLC
Medical Specialty

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).


Contact Information

NU AGE MEDICINE, LLC
632 MONTGOMERY AVE FL 3
NARBERTH, PA19072-2000
Phone: 267-603-3140
Fax:
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for NU AGE MEDICINE, LLC

NPI Number 1386354579
Legal business name
LBN
NU AGE MEDICINE, LLC
Authorized official MATTHEW AMICI - (PARTNER/OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/29/2022
Last updated 11/29/2022 - 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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