| NPI | 1255896254 |
|---|---|
| Doing Business As | MEDI-WEIGHTLOSS OF GREEN BROOK |
| Entity Type | Organization |
| Authorized Contact | MICHAEL GREENSTEIN Director 732-624-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |