Weight Loss Institute INC
NPI #1891090858 in Newark, New Jersey
Provider Information
- NPI Number
- 1891090858
- Entity Type
- Organization
- Organization Name
- Weight Loss Institute INC
- Primary Specialty
- Specialist
- Enumeration Date
- Jan 21, 2011
- Last Updated
- Jan 21, 2011
Practice Location
- Address
- 268 MARTIN LUTHER KING JR BLVD
- City
- Newark
- State
- New Jersey
- ZIP Code
- 07102-2011
- Phone
- (973) 674-8866
Authorized Official
- Name
- DR. THEODORE DACOSTA A, MD
- Title
- MD
- Phone
- (973) 674-8866
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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