Organization
BLUE CIRCLE DIETETICS & NUTRITION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY C ENSMINGER RD, CDE (PRESIDENT)
(716) 908-9434
Entity
Organization
Contact information
Practice address
574 MAIN ST, SUITE 203, EAST AURORA, NY 14052-1751
(716) 908-9434
Mailing address
PO BOX 4876, GREENWICH, CT 06831-0417
(203) 612-3430
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/07/2011
Last updated
01/03/2012
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