# MEDSTAR HEALTH WEIGHT MANAGEMENT, LLC

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

## Provider details

- **NPI number:** 1740051606
- **Authorized official:** RONDA RICHERT (VP REVENUE CYCLE OPERATIONS)
- **Authorized official phone:** (800) 905-3261

## Contact information

- **Practice address:** 10153 YORK RD STE 106-108, COCKEYSVILLE, MD 21030-3398
- **Practice address phone:** (667) 206-4368
- **Mailing address:** 1099 WINTERSON RD STE 300, LINTHICUM HEIGHTS, MD 21090-2279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2024
- **Last updated:** 09/19/2025