| NPI | 1003563990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YINGZI DENG Owner 848-565-5345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine Obesity Medicine |
| Additional Taxonomies | 2080B0002X Pediatrics Obesity Medicine |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-03-09 |