Organization
THE CENTER FOR MEDICAL WEIGHT LOSS OF BERGEN COUNTY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEANE A PENN MD (MANAGER)
(201) 568-5936
Entity
Organization
Contact information
Practice address
363 GRAND AVE, ENGLEWOOD, NJ 07631-4104
(201) 568-5936
(201) 568-7567
Mailing address
363 GRAND AVE, ENGLEWOOD, NJ 07631-4104
(201) 568-5936
(201) 568-7567
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
25MA02573000
NJ
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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