Organization
OMEGA WEIGHT LOSS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE FREDERICKS MD (OWNER)
(347) 268-0114
Entity
Organization
Contact information
Practice address
222 CEDAR LN, TEANECK, NJ 07666-4314
(347) 268-0114
Mailing address
5 LAWRENCE CT, TEANECK, NJ 07666-6460
(347) 268-0114
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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