| New Body Weight Loss Center Llc | |
|
518 Washington St Johnstown PA 15901-2114 | |
| (954) 668-6938 | |
| Not Available |
| Full Name | New Body Weight Loss Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 518 Washington St, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Kelly Modic (CO OWNER) |
| Authorized Official Contact | 9546686938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Body Weight Loss Center Llc 1109 Virginia Ave Johnstown PA 15906-2431 Ph: () - | New Body Weight Loss Center Llc 518 Washington St Johnstown PA 15901-2114 Ph: (954) 668-6938 |
| NPI Number | 1154946002 |
|---|---|
| Provider Enumeration Date | 06/16/2020 |
| Last Update Date | 06/16/2020 |
| Certification Date | 06/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154946002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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