Organization
SID III,LLC
Active
Other names
Future Fitness Centers
Organization subpart
No
Provider details
NPI number
Authorized official
BERYL F KRINSKY RDN, LDN (REGISTERED DIETITIAN)
(215) 764-9651
Entity
Organization
Contact information
Practice address
545 N ROUTE 73, WEST BERLIN, NJ 08091-9242
(856) 753-1800
(856) 753-6200
Mailing address
P.O. BOX 18, WEST BERLIN, NJ 08091
(856) 753-1800
(856) 753-6200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005313
PA
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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