Provider Demographics
NPI:1437695236
Name:SYNERGY WEIGHT LOSS AND WELLNESS
Entity Type:Organization
Organization Name:SYNERGY WEIGHT LOSS AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARUN
Authorized Official - Middle Name:JYOTI
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-799-8444
Mailing Address - Street 1:186 PRINCETON HIGHTSTOWN RD
Mailing Address - Street 2:BLDG. 3B, SUITE 104
Mailing Address - City:WEST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-1668
Mailing Address - Country:US
Mailing Address - Phone:609-799-8444
Mailing Address - Fax:609-799-6114
Practice Address - Street 1:186 PRINCETON HIGHTSTOWN RD
Practice Address - Street 2:BLDG. 3B, SUITE 104
Practice Address - City:WEST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08550-1668
Practice Address - Country:US
Practice Address - Phone:609-799-8444
Practice Address - Fax:609-799-6114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-17
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG97645Medicare UPIN
NJ028614Medicare PIN