Organization
PHYSICIANS MEDICAL WEIGHT LOSS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA ONORATO (PRACTICE MANAGER)
(847) 962-3373
Entity
Organization
Contact information
Practice address
5245 GERMANTOWN AVE STE A, PHILADELPHIA, PA 19144-2328
(484) 222-3087
Mailing address
163 N COMMERCE WAY, BETHLEHEM, PA 18017-8933
(610) 867-7246
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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