Organization
ALLERGY NUTRITIONIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILANA DUBROVSKY-RAZAM RDN (OWNER)
(917) 399-0548
Entity
Organization
Contact information
Practice address
428 PROSPECT ST, SOUTH ORANGE, NJ 07079-1832
(917) 399-0548
Mailing address
428 PROSPECT ST, SOUTH ORANGE, NJ 07079-1832
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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