Nutricultures Nutrition and Diabetes Center LLC
NPI #1194284844 in Montclair, New Jersey
Provider Information
- NPI Number
- 1194284844
- Entity Type
- Organization
- Organization Name
- Nutricultures Nutrition and Diabetes Center LLC
- Primary Specialty
- Dietitian, Registered - Nutrition, Metabolic
- Enumeration Date
- Mar 12, 2019
- Last Updated
- Sep 30, 2024
Practice Location
- Address
- 292 BLOOMFIELD AVE FL 2
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042-3624
- Phone
- (201) 207-2158
Authorized Official
- Name
- MERCY K EDZIAH, MS, RD, CDCES
- Title
- OWNER/CONSULTANT
- Phone
- (201) 207-2158
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered - Nutrition, Metabolic — Nutrition, Metabolic |
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