Organization
PIPPEN HEALTH OF NEW JERSEY, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON LARSON MD (MEDICAL DIRECTOR)
(512) 270-0190
Entity
Organization
Contact information
Practice address
100 CHARLES EWING BLVD STE 160, EWING, NJ 08628-3456
(512) 270-0190
Mailing address
1023 SPRINGDALE RD # 13A, AUSTIN, TX 78721-2465
(512) 270-0190
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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