Individual
NISHAD KURIYANNOORKUNNEL BALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1503 FINNEGAN LN, NORTH BRUNSWICK, NJ 08902-1061
(732) 912-9115
(888) 828-3316
Mailing address
1503 FINNEGAN LN, NORTH BRUNSWICK, NJ 08902-1061
(732) 912-9115
(888) 828-3316
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
172M00000X
Mechanotherapist
—
—
225700000X
Massage Therapist
Primary
18KT01276600
NJ
Other
Enumeration date
02/21/2017
Last updated
10/28/2019
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