Main Dish Nutrition
Dietitian, Registered in Far Hills, NJ. Organization (NPI-2).
NPI number1982247656
StatusActive
Last updated in NPPESOct 24, 2019
Details
- NPI
- 1982247656
- Entity type
- Organization (NPI-2)
- Legal business name
- Main Dish Nutrition
- Organization subpart
- No
- Enumeration date
- Oct 24, 2019
- Last updated
- Oct 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
22 Peapack RdFar Hills, NJ 07931-2437
Phone 908-234-1160
Mailing address
22 Peapack RoadPo Box 158
Far Hills, NJ 07931
Authorized official
Emilia Rose Sochovka
Registered Dietitian
9088922818
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