Keystone Internal Medicine and Weight Loss Center LLC

NPI #1871151118 in Maywood, New Jersey

Provider Information

NPI Number: 1871151118
Entity Type: Organization
Organization Name: Keystone Internal Medicine and Weight Loss Center LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 2, 2019
Last Updated: Jun 27, 2019

Practice Location

Address: 255 WEST SPRING VALLEY AVE
Address 2: SECOND FLOOR, SUITE 200
City: Maywood
State: New Jersey
ZIP Code: 07607
Phone: (201) 447-3690

Authorized Official

Name: DR. POLLYTIA IRENE PANAGIOTOU, MD
Title: MEDICAL DIRECTOR
Phone: (201) 447-3690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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