Organization
REALWEIGH DOCTORS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICKI L HUDSON MD (PHYSICIAN MEMBER)
(703) 712-9799
Entity
Organization
Contact information
Practice address
5550 FRIENDSHIP BLVD # 360, CHEVY CHASE, MD 20815-7256
(240) 332-9670
(240) 332-9671
Mailing address
1750 TYSONS BLVD STE 1500, MC LEAN, VA 22102-4200
(703) 705-7460
(703) 705-7515
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
171400000X
Health & Wellness Coach
—
—
171R00000X
Interpreter
—
—
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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