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Organization
METABOLIC WELLNESS AND LONGEVITY INSTITUTE LLC
Active
Organization
METABOLIC WELLNESS AND LONGEVITY INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAKSHMI PRASAD M.D. (MANAGER)
(908) 626-9200
Entity
Organization
Contact information
Practice address
266 KING GEORGE RD, SUITE H, WARREN, NJ 07059-5120
(908) 626-9200
(908) 626-9203
Mailing address
266 KING GEORGE RD, SUITE H, WARREN, NJ 07059-5120
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA069475
NJ
Other
Enumeration date
04/22/2014
Last updated
06/25/2014
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