Organization
ILANT MEDICAL GROUP KS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESS MUSE (COO)
(201) 308-3903
Entity
Organization
Contact information
Practice address
1280 5TH AVE APT 12D, NEW YORK, NY 10029-7810
(201) 308-3903
Mailing address
2093 PHILADELPHIA PIKE # 4289, CLAYMONT, DE 19703-2424
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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