| NPI | 1609415520 |
|---|---|
| Doing Business As | BEACON HEALTH SCIENCES |
| Entity Type | Organization |
| Authorized Contact | SHAKTHI KUMAR Founder & CEO 908-333-4665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 133N00000X Nutritionist |
| 170100000X Medical Genetics, Ph.D. Medical Genetics | |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |