Individual
JOSE GRIMALDOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
3600 BERGENLINE AVE, SECOND FLOOR, UNION CITY, NJ 07087-7900
(201) 330-8969
Mailing address
3600 BERGENLINE AVE, SECOND FLOOR, UNION CITY, NJ 07087-7900
(201) 330-8969
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
ND100138
NJ
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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