Organization
NUTRITION BASKET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEHAL SHAH (REGISTERED DIETITIAN NUTRITIONIST)
(609) 316-7424
Entity
Organization
Contact information
Practice address
14 PRENTISS RD, NEW BRUNSWICK, NJ 08901-1628
(609) 316-7424
Mailing address
14 PRENTISS RD, NEW BRUNSWICK, NJ 08901-1628
(609) 316-7424
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
940901
NJ
Other
Enumeration date
04/06/2017
Last updated
06/07/2021
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