| NPI | 1114456944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERISE M DYAL Owner 973-339-9787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: NJ MA07083800) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2022-07-21 |