# BARIATRIC MEDICINE INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053971960
- **Authorized official:** MARGARITA ELENA MCDONALD MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (215) 392-9911

## Contact information

- **Practice address:** 8 E MILL RD, FLOURTOWN, PA 19031-2027
- **Practice address phone:** (215) 392-9911
- **Practice address fax:** (714) 276-2677
- **Mailing address:** 809 EASTON RD, WILLOW GROVE, PA 19090-2004
- **Mailing address phone:** (215) 392-9911
- **Mailing address fax:** (215) 392-9913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | Yes |
| 2255A2300X | Athletic Trainer | — | NULL | — |
| 2255A2300X | Athletic Trainer | — | — | — |

## Other

- **Enumeration date:** 06/13/2019
- **Last updated:** 01/30/2023