| NPI | 1124122353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COMFORT NWAMAKA EKUNNO-TABANSI Registered Dietitian 973-731-7938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: IL 927499) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2007-11-20 |