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Organization

BWELL NUTRITION NJ

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA MINTZ MS,RDN (OWNER)
(201) 618-1705
Entity
Organization

Contact information

Practice address
333 BLOOMFIELD AVE, CALDWELL, NJ 07006-5166
(201) 618-1705
Mailing address
11 KNOLLWOOD TER, CALDWELL, NJ 07006-5808
(201) 618-1705

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
12/18/2023
Last updated
12/18/2023
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