Organization
MEDICOR LIFESTYLE MEDICINE, P.A
Active
Parent organization
MEDICOR LIFESTYLE MEDICINE, P.A
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICOR LIFESTYLE MEDICINE, P.A
Authorized official
VIKTORIYA BENIS (BILLING MANAGER)
(908) 243-5004
Entity
Organization
Contact information
Practice address
331 US HIGHWAY 206, HILLSBOROUGH, NJ 08844-4781
(908) 243-5004
(908) 904-1403
Mailing address
225 JACKSON ST, BRIDGEWATER, NJ 08807-3060
(908) 243-5004
(908) 904-1403
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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