| NPI | 1063856813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE O'NEILL Registered Dietitian 732-829-5146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 916310) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-05-05 |