Provider Demographics
NPI:1740879089
Name:NUCELL REGENERATIVE HEALTH LLC
Entity type:Organization
Organization Name:NUCELL REGENERATIVE HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:JR
Authorized Official - Credentials:PA-C
Authorized Official - Phone:215-519-3014
Mailing Address - Street 1:632 MONTGOMERY AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-2000
Mailing Address - Country:US
Mailing Address - Phone:215-519-3014
Mailing Address - Fax:267-603-3140
Practice Address - Street 1:632 MONTGOMERY AVE FL 3
Practice Address - Street 2:
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-2000
Practice Address - Country:US
Practice Address - Phone:215-519-3014
Practice Address - Fax:267-603-3140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-12
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty