Reveal Weight Loss
Reveal Weight Loss is a Gastroenterology Physician in Livingston, New Jersey. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
290 S Livingston Ave Ste 2Livingston, NJ 07039-3986
Phone: (973) 629-7538
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Specialties & licences
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X |
|---|
Record details
| NPI number | 1407554637 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Haroon Shahid — Co-Owner · (973) 629-7534 |
| NPI enumerated | February 16, 2023 |
| Last updated in NPPES | March 20, 2023 |
| Certification date | March 20, 2023 |
| Mailing address | 290 S Livingston Ave Ste 2, Livingston, NJ 07039-3986 |
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Theodore A. Dacosta MD PA
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