Organization
MANISHA PANWALA LLC
Active
Other names
Manisha Panwala LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MANISHA PANWALA RD (REGISTERED DIETITIAN)
(917) 415-0504
Entity
Organization
Contact information
Practice address
18 ENGLE ST APT 6U, TENAFLY, NJ 07670-2826
(917) 415-0504
Mailing address
18 ENGLE ST APT 6U, TENAFLY, NJ 07670-2826
(917) 415-0504
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
933723
NJ
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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