Revive Health and Aesthetics PC
Revive Health and Aesthetics PC provides Dermatology Physician services in East Longmeadow, Massachusetts. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
294 N Main StEast Longmeadow, MA 01028-1838
Phone: (413) 224-1009
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Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1104644145 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Adekunle Fajana — President · (508) 735-3280 |
| NPI enumerated | September 30, 2024 |
| Last updated in NPPES | September 30, 2024 |
| Certification date | September 30, 2024 |
| Mailing address | 294 N Main St, East Longmeadow, MA 01028-1838 |