Organization Name: | MAUI MEDICAL WEIGHT LOSS CLINICS, LLC |
NPI Number: | 1144668716 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHLEEN PIROZZI (CEO/ PRESIDENT) |
Mailing Address: | 16 Washington Ave Little Ferry |
State: | NJ US |
Postal Code: | 076431909 |
Phone Number: | 2014444448 |
Fax Number: | |
NPI Enumeration Date: | 06/05/2013 |
NPI Last Update Date: | 06/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |