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Organization
ESSEX COUNTY WEIGHTLOSS, LLC
Active
Organization
ESSEX COUNTY WEIGHTLOSS, LLC
Active
Other names
Essex County Weightloss, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JODI DESPOY (MANAGER)
(813) 228-6334
Entity
Organization
Contact information
Practice address
1055 HAMBURG TPKE, WAYNE, NJ 07470-3235
(973) 646-8383
Mailing address
1055 HAMBURG TPKE, WAYNE, NJ 07470-3235
(973) 646-8383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
06/26/2023
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