Organization
LIVINGSTON 1 WEIGHTLOSS, LLC
Active
Other names
Medi Weightloss Livingston
Organization subpart
No
Provider details
NPI number
Authorized official
WENDIE NONCLERC (DIRECTOR OF INSURANCE DEVELOPMENT)
(813) 228-6334
Entity
Organization
Contact information
Practice address
5 REGENT ST, SUITE 509, LIVINGSTON, NJ 07039-1675
(973) 251-2437
(973) 251-2654
Mailing address
5 REGENT ST, SUITE 509, LIVINGSTON, NJ 07039-1675
(973) 251-2437
(973) 251-2654
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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