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Organization
OMEGA WEIGHT LOSS CENTER
Active
Organization
OMEGA WEIGHT LOSS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE FREDERICKS MD (OWNER)
(347) 268-0114
Entity
Organization
Contact information
Practice address
228 S ORANGE AVE, SOUTH ORANGE, NJ 07079-2202
(973) 821-5058
(973) 821-5059
Mailing address
228 S ORANGE AVE, SOUTH ORANGE, NJ 07079-2202
(973) 821-5058
(973) 821-5059
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
08/10/2026
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