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Individual

POOJA MAHTANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 EAGLE RD STE 208, WAYNE, PA 19087-3115
(888) 702-7974
Mailing address
2 KENNETH RD, MONTCLAIR, NJ 07043-2542
(862) 371-0003

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DN006723
PA

Other

Enumeration date
07/11/2023
Last updated
07/11/2023
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