Organization
GARDEN STATE BARIATRICS & WELLNESS CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L BILOF M.D. (OWNER)
(973) 218-1990
Entity
Organization
Contact information
Practice address
225 MILLBURN AVE, SUITE 204, MILLBURN, NJ 07041-1737
(973) 218-1990
(973) 629-1274
Mailing address
225 MILLBURN AVE, SUITE 204, MILLBURN, NJ 07041-1737
(973) 218-1990
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
NJ25MA05641900
NJ
261QH0100X
Health Service Clinic/Center
NJ25MA05641900
NJ
Other
Enumeration date
11/29/2007
Last updated
02/08/2010
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