Tavares Medical Nutrition Therapy Llc | |
1100 Avenue At Port Imperial Apt 910, Weehawken, NJ 07086-6303 | |
(201) 704-4654 | |
Not Available |
Full Name | Tavares Medical Nutrition Therapy Llc |
---|---|
Type | Facility |
Speciality | Dietitian, Registered |
Location | 1100 Avenue At Port Imperial Apt 910, Weehawken, 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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1528660099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Tavares Medical Nutrition Therapy Llc 1100 Avenue At Port Imperial Apt 910, Weehawken, NJ 07086-6303 Ph: (201) 704-4654 | Tavares Medical Nutrition Therapy Llc 1100 Avenue At Port Imperial Apt 910, Weehawken, NJ 07086-6303 Ph: (201) 704-4654 |
Alycea Harrison, MS, RD, CDN, CNSC, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1550 Harbor Blvd Apt 2410, Weehawken, NJ 07086 Phone: 973-216-6141 | |
Onesol Nutrition, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 407 Gregory Ave, Weehawken, NJ 07086 Phone: 201-325-0151 Fax: 201-325-0152 | |
Mrs. Soledad Hearon, R.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 407 Gregory Ave, Weehawken, NJ 07086 Phone: 201-325-0151 Fax: 201-325-0152 | |
Ms. Michelle Tavares, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1100 Avenue At Port Imperial Apt 910, Weehawken, NJ 07086 Phone: 201-704-4654 |