Center For Medical Nutrition Therapy LLC
Dietitian, Registered in Bergenfield, NJ. Organization (NPI-2).
NPI number1114357019
StatusActive
Last updated in NPPESJun 3, 2015
Details
- NPI
- 1114357019
- Entity type
- Organization (NPI-2)
- Legal business name
- Center For Medical Nutrition Therapy LLC
- Organization subpart
- No
- Enumeration date
- Nov 14, 2013
- Last updated
- Jun 3, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
26 Byrne PlBergenfield, NJ 07621-1002
Phone 551-486-6604 · Fax 201-501-0543
Mailing address
26 Byrne PlBergenfield, NJ 07621-1002
Phone 551-486-6604 · Fax 201-501-0543
Authorized official
Marilyn R. Quintana
Proprietor
5514866604
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