| |
221 River St Floor 9 Hoboken NJ 07030-5990 | |
(646) 705-5430 | |
Not Available |
Full Name | |
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Speciality | Dietitian, Registered |
Location | 221 River St, Hoboken, New Jersey |
Authorized Official Name and Position | Dale Lensing (PRESIDENT) |
Authorized Official Contact | 6464436113 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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221 River St Floor 9 Hoboken NJ 07030-5990 Ph: () - | 221 River St Floor 9 Hoboken NJ 07030-5990 Ph: (646) 705-5430 |
NPI Number | 1306547153 |
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Provider Enumeration Date | 03/16/2023 |
Last Update Date | 12/12/2024 |
Certification Date | 12/11/2024 |
Identifier | Type | State | Issuer |
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1306547153 | NPI | - | NPPES |
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