EDWARD R GRUBER

LAKEWOOD, NJ
NPI1619203296
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133N00000X Nutritionist
(Licence: WA  001929)
Enumeration Date2009-11-02
Last Update Date2009-11-02
Business Address
-- EDWARD R GRUBER CN
1771 MADISON AVE
LAKEWOOD, NJ 08701-1251
Phone number: 732-364-2144
Mailing Address
-- EDWARD R GRUBER CN
1771 MADISON AVE
LAKEWOOD, NJ 08701-1251
Phone number: 732-364-2144