Individual
MILANA GURSHUMOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
98 JAMES ST STE 212, EDISON, NJ 08820-3902
(732) 283-1900
(732) 898-3957
Mailing address
20 THISTLE LN, WARREN, NJ 07059-5564
(732) 283-1900
(732) 898-3951
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
927426
NY
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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