Organization
EATING DISORDER MEDICAL NUTRITION THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DAHL RD (FOUNDER)
(201) 970-7573
Entity
Organization
Contact information
Practice address
200 OLD TAPPAN RD STE 5, OLD TAPPAN, NJ 07675-7033
(201) 970-7573
(551) 390-2002
Mailing address
200 OLD TAPPAN RD STE 5, OLD TAPPAN, NJ 07675-7033
(201) 970-7573
(551) 390-2002
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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