Organization
EMILY BOSTROM NUTRITION PLLC
Active
Other names
Emily Gerdner Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY GERDNER RD (OWNER)
(609) 558-2405
Entity
Organization
Contact information
Practice address
331 SHELTON RD, TRUMBULL, CT 06611-5134
(609) 558-2405
Mailing address
331 SHELTON RD, TRUMBULL, CT 06611-5134
(609) 558-2405
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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