| NPI | 1003612011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SELIG Medical Director 732-664-4624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management |
| Additional Taxonomies | 207RA0000X Internal Medicine Adolescent Medicine |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-02-20 |