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Organization

MY WEIGHT LOSS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LUIS LUNA MD (DOCTOR)
(201) 926-8384
Entity
Organization

Contact information

Practice address
1 BROADWAY, SUITE 105, ELMWOOD PARK, NJ 07407-1842
(201) 926-8384
Mailing address
38 HAMILTON TRL, TOTOWA, NJ 07512-2178
(201) 926-8384
(862) 264-1964

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
35592907
NY
207R00000X
Internal Medicine Physician
Primary
25MA07806100
NJ

Other

Enumeration date
06/13/2012
Last updated
06/13/2012
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