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Organization
MANISHA PANWALA LLC
Active
Organization
MANISHA PANWALA LLC
Active
Other names
Manisha Panwala LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MANISHA PANWALA RD (REGISTERED DIETITIAN)
(917) 415-0504
Entity
Organization
Contact information
Practice address
18 ENGLE ST APT 6U, TENAFLY, NJ 07670-2826
(917) 415-0504
Mailing address
18 ENGLE ST APT 6U, TENAFLY, NJ 07670-2826
(917) 415-0504
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
933723
NJ
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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