| Omega Weight Loss Center | |
|
222 Cedar Ln Teaneck NJ 07666-4314 | |
| (347) 268-0114 | |
| Not Available |
| Full Name | Omega Weight Loss Center |
|---|---|
| Speciality | Family Medicine - Obesity Medicine |
| Location | 222 Cedar Ln, Teaneck, New Jersey |
| Authorized Official Name and Position | Duane Fredericks (OWNER) |
| Authorized Official Contact | 3472680114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omega Weight Loss Center 5 Lawrence Ct Teaneck NJ 07666-6460 Ph: (347) 268-0114 | Omega Weight Loss Center 222 Cedar Ln Teaneck NJ 07666-4314 Ph: (347) 268-0114 |
| NPI Number | 1003455767 |
|---|---|
| Provider Enumeration Date | 12/30/2019 |
| Last Update Date | 12/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003455767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QB0002X | Family Medicine - Obesity Medicine | (* (Not Available)) | Primary |
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