MR. Benjamin Frederick Beideman

NPI #1356706972 in Forked River, New Jersey

Provider Information

NPI Number: 1356706972
Entity Type: Individual
Name: MR. Benjamin Frederick Beideman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nutritionist
Enumeration Date: Dec 26, 2015
Last Updated: Oct 27, 2020

Practice Location

Address: 610 LACEY RD UNIT 749
City: Forked River
State: New Jersey
ZIP Code: 08731-8037
Phone: (732) 930-1820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist - Nutrition, Education — Nutrition, Education	133NN1002X
Nutritionist	133N00000X	Primary

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