Allergy Nutritionist LLC
NPI #1073378006 in South Orange, New Jersey
Provider Information
- NPI Number
- 1073378006
- Entity Type
- Organization
- Organization Name
- Allergy Nutritionist LLC
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Feb 19, 2024
- Last Updated
- Feb 19, 2024
Practice Location
- Address
- 428 PROSPECT ST
- City
- South Orange
- State
- New Jersey
- ZIP Code
- 07079-1832
- Phone
- (917) 399-0548
Authorized Official
- Name
- ILANA DUBROVSKY-RAZAM, RDN
- Title
- OWNER
- Phone
- (917) 399-0548
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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