Blue Circle Dietetics & Nutrition PC
NPI #1578840450 in East Aurora, New York
Provider Information
- NPI Number
- 1578840450
- Entity Type
- Organization
- Organization Name
- Blue Circle Dietetics & Nutrition PC
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Nov 7, 2011
- Last Updated
- Jan 3, 2012
Practice Location
- Address
- 574 MAIN ST
- Address 2
- SUITE 203
- City
- East Aurora
- State
- New York
- ZIP Code
- 14052-1751
- Phone
- (716) 908-9434
Authorized Official
- Name
- MR. JEFFREY C ENSMINGER, RD, CDE
- Title
- PRESIDENT
- Phone
- (716) 908-9434
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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