Organization
MLT360 MEALS, LIFESTYLE, NUTRITION THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN TRIOLO RDN (REGISTERED DIETITIAN/NUTRITIONIST)
(201) 693-7942
Entity
Organization
Contact information
Practice address
465 W MAIN ST, WYCKOFF, NJ 07481-1453
(201) 693-7942
Mailing address
59 GARIBALDI AVE, 2ND FLOOR, LODI, NJ 07644-1805
(201) 693-7942
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1052250
NJ
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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