Grand Professional Weight Control
NPI #1972782696 in Englewood, New Jersey
Provider Information
- NPI Number
- 1972782696
- Entity Type
- Organization
- Organization Name
- Grand Professional Weight Control
- Primary Specialty
- Family Medicine - Obesity Medicine
- Enumeration Date
- Oct 30, 2007
- Last Updated
- Jan 10, 2008
Practice Location
- Address
- 420 GRAND AVENUE
- Address 2
- SUITE 102
- City
- Englewood
- State
- New Jersey
- ZIP Code
- 07631
- Phone
- (201) 568-3742
Authorized Official
- Name
- MR. ALLAN W LAZAR, MD
- Title
- OWNER PRESIDENT
- Phone
- (201) 568-3742
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Obesity Medicine — Obesity Medicine |
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