Center For Medical Nutrition Therapy Llc

NPI 1114357019 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1114357019
Enumeration Date 11/14/2013
Last Updated 06/03/2015
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MARILYN R. MARILYN
Position PROPRIETOR
Phone (551) 486-6604
Fax (201) 501-0543
Practice Location
26 BYRNE PL
BERGENFIELD NJ, 07621-1002, US
Phone (551) 486-6604
Fax (201) 501-0543
Business Location
26 BYRNE PL
BERGENFIELD NJ, 07621-1002, US
Phone (551) 486-6604
Fax (201) 501-0543
Toxanomy
Taxonomy Code 133V00000X
License State
License Number
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According to our database, Center For Medical Nutrition Therapy Llc NPI is 1114357019, taxonomy code is 133V00000X Center For Medical Nutrition Therapy Llc physically located at 26 Byrne Pl, Bergenfield NJ, 07621-1002. NPI Number 1033115704 has the healthcare provider type.

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1114357019 NPI number is provided on an as is basis without warranty of any kind. 1114357019 is maintained by the National Plan & Provider Enumeration System. The contents of Center For Medical Nutrition Therapy Llc are for informational purposes only.