| NPI | 1114221363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MARINACCIO CEO 973-998-9414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: NJ 870621) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2021-09-10 |