SENIORMED CLINIC FOR AGING PA
Osteopathic Medicine at Januson Ct, Town Center, NJ

License number
New Jersey MA 69300
Category
Osteopathic Medicine
Type
Geriatric Medicine
Owner
Name: DR. ROWEN GUMAPAS DIANO MD
Title: PRESIDENT
Phone: (973) 736-8212
Address
Address
7 Januson Ct, Town Center, NJ 07052
National Provider ID: 1205957180
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SENIORMED CLINIC FOR AGING, PA

West Orange, NJ

Registration:
Jul 31, 2001
State ID:
0100856838
Business type:
PA

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