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Organization
HEALTHY EWL PC
Active
Organization
HEALTHY EWL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAY NUSBAUM MD (OWNER/PRESIDENT)
(973) 998-9833
Entity
Organization
Contact information
Practice address
95 MADISON AVE STE A06, MORRISTOWN, NJ 07960-7365
(973) 998-9833
(973) 998-9832
Mailing address
197 RIDGEDALE AVE STE 160, CEDAR KNOLLS, NJ 07927-2108
(973) 998-9833
(973) 998-9832
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
MA061479
NJ
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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