# MEDICAL NUTRITION ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881738235
- **Authorized official:** MR. JAY J. GRAHAM (BILLING MANAGER)
- **Authorized official phone:** (973) 432-9014

## Contact information

- **Practice address:** 4 PERRY ST, MORRISTOWN, NJ 07960-9447
- **Practice address phone:** (973) 540-1000
- **Practice address fax:** (973) 540-0001
- **Mailing address:** PO BOX 2227, MORRISTOWN, NJ 07962-2227
- **Mailing address phone:** (973) 540-1000
- **Mailing address fax:** (973) 540-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MA070526 | NJ | Yes |

## Other

- **Enumeration date:** 02/19/2007
- **Last updated:** 08/17/2009