Organization
WEINSTOCK NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY WEINSTOCK PHD, CNS (OWNER)
(973) 477-6985
Entity
Organization
Contact information
Practice address
2115 MILLBURN AVE STE 101, MAPLEWOOD, NJ 07040-3714
(973) 477-6985
Mailing address
2115 MILLBURN AVE STE 101, MAPLEWOOD, NJ 07040-3714
(973) 477-6985
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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