# PHYSICIANS MEDICAL WEIGHT LOSS, LLC

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

## Provider details

- **NPI number:** 1568047546
- **Authorized official:** TINA ONORATO (PRACTICE MANAGER)
- **Authorized official phone:** (847) 962-3373

## Contact information

- **Practice address:** 5245 GERMANTOWN AVE STE A, PHILADELPHIA, PA 19144-2328
- **Practice address phone:** (484) 222-3087
- **Mailing address:** 163 N COMMERCE WAY, BETHLEHEM, PA 18017-8933
- **Mailing address phone:** (610) 867-7246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/11/2021
- **Last updated:** 03/11/2021