Graduated: 2023
NPI: 1992674550
Practice Locations (3)
ACTIVE HEALTH MARLTON LLC
1317 ROUTE 73, SUITE 101
MOUNT LAUREL, NJ 080542202
6098868039
ACTIVE HEALTH NORTHFIELD LLC
1612 TILTON RD
NORTHFIELD, NJ 082251829
6092772477
REGENERATIVE MEDICINE OF SOUTH JERSEY LLC
1501 ROUTE 47
RIO GRANDE, NJ 082421401
6092241576
Source: CMS National Downloadable File, September 2026.