# GRAND PROFESSIONAL WEIGHT CONTROL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Allan Lazar MD & Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972782696
- **Authorized official:** MR. ALLAN W LAZAR MD (OWNER PRESIDENT)
- **Authorized official phone:** (201) 568-3742

## Contact information

- **Practice address:** 420 GRAND AVENUE, SUITE 102, ENGLEWOOD, NJ 07631
- **Practice address phone:** (201) 568-3742
- **Practice address fax:** (201) 836-3178
- **Mailing address:** 420 GRAND AVENUE, SUITE 102, ENGLEWOOD, NJ 07631
- **Mailing address phone:** (201) 568-3742
- **Mailing address fax:** (201) 836-3178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | MA20014 | NJ | Yes |

## Other

- **Enumeration date:** 10/30/2007
- **Last updated:** 01/10/2008