Organization
NUTRITION AND HEALTH RESOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRA OPPENHEIMER RD (REGISTERED DIETITIAN)
(732) 966-2762
Entity
Organization
Contact information
Practice address
6 RIVKA LN, LAKEWOOD, NJ 08701-4329
(732) 966-2762
Mailing address
6 RIVKA LN, LAKEWOOD, NJ 08701-4329
(732) 966-2762
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86029262
NJ
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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