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Organization
JERSEY SURGICAL WEIGHT CONTROL CENTER LLC
Active
Organization
JERSEY SURGICAL WEIGHT CONTROL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILIYA PROKURAT (MANAGER OF OPERATIONS)
(800) 920-9928
Entity
Organization
Contact information
Practice address
222 SCHANCK RD STE 200, FREEHOLD, NJ 07728-2974
(800) 920-9928
(800) 615-9936
Mailing address
222 SCHANCK RD STE 200, FREEHOLD, NJ 07728-2974
(800) 920-9928
(800) 615-9936
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
NULL
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
06/03/2025
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