Organization
MACKS NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MACKAY JR. RD (OWNER)
(973) 768-0442
Entity
Organization
Contact information
Practice address
114 PINE ST, POMPTON LAKES, NJ 07442-1539
(973) 768-0442
Mailing address
114 PINE ST, POMPTON LAKES, NJ 07442-1539
(973) 768-0442
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86043468
NJ
Other
Enumeration date
11/28/2017
Last updated
03/17/2018
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