Organization
ROWANSOM NUTRITIONAL THERAPY
Active
Other names
UMDNJ-SOM Nutritional Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RIEKER (INTERIM CHIEF FINANCIAL OFFICIER)
(856) 770-5772
Entity
Organization
Contact information
Practice address
42 E LAUREL RD, UDP#2500, STRATFORD, NJ 08084-1354
(856) 566-2700
(856) 566-6873
Mailing address
PO BOX 635, BELLMAWR, NJ 08099-0635
(856) 566-6706
(856) 566-2797
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/20/2011
Last updated
05/15/2013
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