Organization
DIAETA CLINIC- WE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOBHA MALLA RDN, CDCES (REGISTERED DIETITIAN)
(510) 792-2652
Entity
Organization
Contact information
Practice address
290 MADISON AVE, MORRISTOWN, NJ 07960-7400
(315) 834-2682
Mailing address
121 CENTER GROVE RD, RANDOLPH, NJ 07869-4453
(315) 834-2682
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
04/01/2015
Last updated
03/24/2024
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