Essex County Weightloss, Llc | |
81 State Road 10 East Randolph NJ 07869 | |
(973) 891-1870 | |
Not Available |
Full Name | Essex County Weightloss, Llc |
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Speciality | Family Medicine |
Location | 81 State Road 10 East, Randolph, New Jersey |
Authorized Official Name and Position | Jodi Despoy (MANAGER) |
Authorized Official Contact | 8132286334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Essex County Weightloss, Llc 81 State Road 10 East Randolph NJ 07869 Ph: (973) 891-1870 | Essex County Weightloss, Llc 81 State Road 10 East Randolph NJ 07869 Ph: (973) 891-1870 |
NPI Number | 1982101309 |
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Provider Enumeration Date | 04/11/2018 |
Last Update Date | 06/26/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982101309 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207Q00000X | Family Medicine | (New Jersey) | Secondary |
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