Organization
MDSLIM, LLC
Active
Organization
MDSLIM, LLC
Active
Other names
Institute for Weight Management
Organization subpart
No
Provider details
NPI number
Authorized official
ANJANA CHHABRA MD (MEDICAL DIRECTOR)
(201) 487-8010
Entity
Organization
Contact information
Practice address
150 OVERLOOK AVENUE, HACKENSACK, NJ 07601-2206
(201) 487-8010
(201) 487-7010
Mailing address
150 OVERLOOK AVENUE, HACKENSACK, NJ 07601-2206
(201) 487-8010
(201) 487-7010
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101580
MEDICARE PROVIDER NUMBER
NJ
Enumeration date
06/12/2006
Last updated
11/01/2007
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