Organization
NUTOPIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET BRANCATO M.S., R.D. (OWNER)
(201) 803-1423
Entity
Organization
Contact information
Practice address
4 HANOVER PL, GLEN ROCK, NJ 07452-2706
(201) 803-1423
Mailing address
233 ROCK RD, SUITE 114, GLEN ROCK, NJ 07452-1708
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005688862
AETNA
—
Enumeration date
01/16/2017
Last updated
01/16/2017
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