# MEDSTAR HEALTH WEIGHT MANAGEMENT, LLC

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

## Provider details

- **NPI number:** 1740051614
- **Authorized official:** RONDA RICHERT (VP REVENUE CYCLE OPERATIONS)
- **Authorized official phone:** (800) 905-3261

## Contact information

- **Practice address:** 532 BALTIMORE BLVD STE 101, WESTMINSTER, MD 21157-6118
- **Practice address phone:** (667) 367-2778
- **Mailing address:** 1099 WINTERSON RD STE 300, LINTHICUM HEIGHTS, MD 21090-2279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | NULL | — |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 01/10/2024
- **Last updated:** 07/22/2026