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Organization

BODY GUARDS NATURAL WEIGHT LOSS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT SLATKIN (PRESIDENT)
(212) 920-9776
Entity
Organization

Contact information

Practice address
530 E 76TH ST, SUITE 12E, NEW YORK, NY 10021-3138
(212) 988-8108
Mailing address
530 E 76TH ST, SUITE 12E, NEW YORK, NY 10021-3138
(212) 988-8108

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary

Other

Enumeration date
09/15/2008
Last updated
09/15/2008
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