| NPI | 1821504093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA MARIE DEFURIA Manager 908-285-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND7872) |
| Enumeration Date | 2017-12-23 |
| Last Update Date | 2017-12-23 |