ADVANCED MEDICAL WEIGHT LOSS AND ESTHETICS NPI 1720479769

NPI Information

NPI: 1720479769
Provider Name: ADVANCED MEDICAL WEIGHT LOSS AND ESTHETICS
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 31D0122937

Address:
1631 ROUTE 88 W
SUITE A
BRICK, NJ
ZIP 08724
Phone: (732) 202-7456
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ADVANCED MEDICAL WEIGHT LOSS AND ESTHETICS is a health service clinic center in Brick, NJ. ADVANCED MEDICAL WEIGHT LOSS AND ESTHETICS NPI is 1720479769. The provider is registered as an organization entity type.

The provider's business location address is:

1631 ROUTE 88 W
SUITE A
BRICK, NJ
ZIP 08724-048
Phone: (732) 202-7456

The provider's authorized official is Hitesh B Patel .
The authorized official title is President and has the following contact phone number (732) 202-7456.

The CLIA number assigned to this NPI record is 31D0122937 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2015 and was last updated on 2/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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