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NPI Verification

National Provider Identifier: 1568515500

A Progressive Longevity Center,llc

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

Practice Address

100 WINSTON DR

5 HS

CLIFFSIDE PARK, NJ 070103240

Phone: 201-761-0717

NPI Enumeration Date

January 21, 2007

NPI Number

1568515500

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry