Organization
JERSEY SURGICAL WEIGHT CONTROL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILIYA PROKURAT (MANAGER OF OPERATIONS)
(800) 920-9928
Entity
Organization
Contact information
Practice address
222 SCHANCK RD STE 200, FREEHOLD, NJ 07728-2974
(800) 920-9928
(800) 615-9936
Mailing address
222 SCHANCK RD STE 200, FREEHOLD, NJ 07728-2974
(800) 920-9928
(800) 615-9936
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
06/03/2025
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