| NPI | 1396128377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIBRIA ALEXANDER GOLAM Director 862-248-0861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NJ 1096687) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2016-02-15 |