Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Revitajuve Health and Business, PLLC

Organization Family Medicine Physician · NPI 1093499915

Revitajuve Health and Business, PLLC provides Family Medicine Physician services in Allentown, Pennsylvania. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1702 W Allen St # 1560
Allentown, PA 18104-5023
Phone: (484) 393-5883
Fax: (610) 601-4749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1093499915
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Derezil — Physician · (484) 393-5883
NPI enumeratedJune 12, 2023
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025
Mailing address1702 W Allen St # 1560, Allentown, PA 18104-5023

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