Organization
ESSEX COUNTY WEIGHTLOSS, LLC
Active
Other names
Essex County Weightloss, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JODI DESPOY (MANAGER)
(813) 228-6334
Entity
Organization
Contact information
Practice address
1055 HAMBURG TPKE, WAYNE, NJ 07470-3235
(973) 646-8383
Mailing address
1055 HAMBURG TPKE, WAYNE, NJ 07470-3235
(973) 646-8383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
06/26/2023
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