Organization
OBESITY TREATMENT CENTERS OF NEW JERSEY LLC
Active
Other names
Nusbaum Medical Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAY NUSBAUM MD (OWNER/PRESIDENT)
(973) 998-9833
Entity
Organization
Contact information
Practice address
197 RIDGEDALE AVE STE 160, CEDAR KNOLLS, NJ 07927-2108
(973) 998-9833
Mailing address
197 RIDGEDALE AVE STE 160, CEDAR KNOLLS, NJ 07927-2108
(973) 998-9833
(973) 998-9832
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MA061479
NJ
Other
Enumeration date
05/14/2007
Last updated
06/22/2021
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