Youth Fountain

LBN: The Youth Fountain
Youth Fountain is an health care organization with primary practice located at 501 Iron Bridge Rd Suite 9, Freehold NJ 07728-5304. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. The Youth Fountain can be contacted via phone (866) 514-0025, or through Shakov, Emil via phone (866) 514-0025.

Contact Information

Primary practice address
501 Iron Bridge Rd Suite 9 Freehold NJ 07728-5304
Phone: (866) 514-0025
Fax: (732) 358-0524
Website:
Map and Directions
Authorized official contact:
Name: Shakov, Emil Doctor of Medicine (MD)
Phone: (866) 514-0025

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1598190506
LBN Legal business name The Youth Fountain
DBA Doing business as Youth Fountain
Authorized official Shakov, Emil Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2013
Last updated Nov 25th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers