Organization
METABOLIC WELLNESS AND LONGEVITY INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAKSHMI PRASAD M.D. (MANAGER)
(908) 626-9200
Entity
Organization
Contact information
Practice address
266 KING GEORGE RD, SUITE H, WARREN, NJ 07059-5120
(908) 626-9200
(908) 626-9203
Mailing address
266 KING GEORGE RD, SUITE H, WARREN, NJ 07059-5120
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA069475
NJ
Other
Enumeration date
04/22/2014
Last updated
06/25/2014
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