Sid Iii,llc

NPI #1508317801 in West Berlin, New Jersey

Provider Information

NPI Number: 1508317801
Entity Type: Organization
Organization Name: Sid Iii,llc
Primary Specialty: Dietitian, Registered
Enumeration Date: Oct 21, 2016
Last Updated: Oct 21, 2016

Practice Location

Address: 545 N ROUTE 73
City: West Berlin
State: New Jersey
ZIP Code: 08091-9242
Phone: (856) 753-1800

Authorized Official

Name: BERYL F KRINSKY, RDN, LDN
Title: REGISTERED DIETITIAN
Phone: (215) 764-9651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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