Professional Advantage Nutrition And Fitness, Llc | |
341 Railroad Ave, East Rutherford, NJ 07073-1717 | |
(201) 446-3736 | |
(201) 438-7174 |
Full Name | Professional Advantage Nutrition And Fitness, Llc |
---|---|
Type | Facility |
Speciality | Dietitian, Registered |
Location | 341 Railroad Ave, East Rutherford, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134480528 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 942839 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
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Professional Advantage Nutrition And Fitness, Llc 201 Union Ave, Wood Ridge, NJ 07075-1906 Ph: (201) 446-3736 | Professional Advantage Nutrition And Fitness, Llc 341 Railroad Ave, East Rutherford, NJ 07073-1717 Ph: (201) 446-3736 |
Michael John Carroll, MS, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 276 Randolph Ave, East Rutherford, NJ 07073 Phone: 201-739-5023 | |
Mrs. Dina Ford, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 341 Railroad Ave, East Rutherford, NJ 07073 Phone: 201-446-3736 Fax: 201-438-7174 |