| |
2500 English Creek Ave, Suite 222, Egg Harbor Township, NJ 08234-5549 | |
(609) 407-2354 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center |
Location | 2500 English Creek Ave, Egg Harbor Township, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477799294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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2500 English Creek Ave, Suite 222, Egg Harbor Township, NJ 08234-5549 Ph: (609) 407-2354 | 2500 English Creek Ave, Suite 222, Egg Harbor Township, NJ 08234-5549 Ph: (609) 407-2354 |