Nutrition Source Consulting Llc | |
173 W Westfield Ave, Apt B9, Roselle Park, NJ 07204-1829 | |
(908) 787-3814 | |
Not Available |
Full Name | Nutrition Source Consulting Llc |
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Type | Facility |
Speciality | Dietitian, Registered |
Location | 173 W Westfield Ave, Roselle Park, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1689806242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 1501249 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
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Nutrition Source Consulting Llc 173 W Westfield Ave, Apt B9, Roselle Park, NJ 07204-1829 Ph: (908) 787-3814 | Nutrition Source Consulting Llc 173 W Westfield Ave, Apt B9, Roselle Park, NJ 07204-1829 Ph: (908) 787-3814 |
Kathlene Bator, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 119 Camden St, Roselle Park, NJ 07204 Phone: 908-463-3056 | |
Heather Marino, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 108 Butler Ave, Roselle Park, NJ 07204 Phone: 908-868-1065 |