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Organization
DIABETICWATCHERS USA LLC
Active
Organization
DIABETICWATCHERS USA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OERMILA CORRAO (PROGRAM DIRECTOR)
(201) 577-8994
Entity
Organization
Contact information
Practice address
30 GALESI DR STE 104B, WAYNE, NJ 07470-4840
(201) 577-8994
Mailing address
30 GALESI DR STE 104B, WAYNE, NJ 07470-4840
(201) 577-8994
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QC1800X
Corporate Health Clinic/Center
—
NULL
261QP0905X
State or Local Public Health Clinic/Center
—
NULL
302R00000X
Health Maintenance Organization
—
NULL
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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