Organization
CENTER FOR MEDICAL NUTRITION THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARILYN R. QUINTANA R.D. (PROPRIETOR)
(551) 486-6604
Entity
Organization
Contact information
Practice address
26 BYRNE PL, BERGENFIELD, NJ 07621-1002
(551) 486-6604
(201) 501-0543
Mailing address
26 BYRNE PL, BERGENFIELD, NJ 07621-1002
(551) 486-6604
(201) 501-0543
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/14/2013
Last updated
06/03/2015
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