Organization
OPTIMUM HEALTH & FITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIBRIA ALEXANDER GOLAM (DIRECTOR)
(862) 248-0861
Entity
Organization
Contact information
Practice address
566 STATE RT 23, POMPTON PLAINS, NJ 07444-1420
(862) 248-0861
Mailing address
566 STATE RT 23, POMPTON PLAINS, NJ 07444-1420
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1096687
NJ
Other
Enumeration date
07/08/2015
Last updated
02/15/2016
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