Organization
ESSEX COUNTY WEIGHTLOSS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI DESPOY (MANAGER)
(813) 228-6334
Entity
Organization
Contact information
Practice address
81 STATE ROAD 10 EAST, RANDOLPH, NJ 07869
(973) 891-1870
Mailing address
81 STATE ROAD 10 EAST, RANDOLPH, NJ 07869
(973) 891-1870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NJ
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
06/26/2023
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