Organization
PROFESSIONAL ADVANTAGE NUTRITION AND FITNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DINA FORD RDN (PRESIDENT)
(201) 446-3736
Entity
Organization
Contact information
Practice address
341 RAILROAD AVE, EAST RUTHERFORD, NJ 07073-1717
(201) 446-3736
(201) 438-7174
Mailing address
201 UNION AVE, WOOD RIDGE, NJ 07075-1906
(201) 446-3736
(201) 438-7174
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
942839
NJ
Other
Enumeration date
06/03/2012
Last updated
09/27/2013
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