# PIPPEN HEALTH OF NEW JERSEY, P.A

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

## Provider details

- **NPI number:** 1831914191
- **Authorized official:** JON LARSON MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (512) 270-0190

## Contact information

- **Practice address:** 100 CHARLES EWING BLVD STE 160, EWING, NJ 08628-3456
- **Practice address phone:** (512) 270-0190
- **Mailing address:** 1023 SPRINGDALE RD \# 13A, AUSTIN, TX 78721-2465
- **Mailing address phone:** (512) 270-0190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | NULL | Yes |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2024
- **Last updated:** 11/20/2024