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Organization
STORCH NUTRITIONAL MEDICINE ASSOCIATES,PA
Active
Organization
STORCH NUTRITIONAL MEDICINE ASSOCIATES,PA
Active
Other names
Advanced Metabolic & Functional Medicine Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J STORCH MD, PHD (OWNER)
(973) 240-5000
Entity
Organization
Contact information
Practice address
210 MALAPARDIS RD STE 202, CEDAR KNOLLS, NJ 07927-1121
(973) 240-5000
(973) 765-9366
Mailing address
210 MALAPARDIS RD STE 202, CEDAR KNOLLS, NJ 07927-1121
(973) 765-9413
(973) 240-5000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7886209
—
NJ
Enumeration date
01/25/2007
Last updated
08/10/2021
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