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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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