Organization
I C HEALTH BEYOND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA ROGERS (CEO)
(973) 477-7732
Entity
Organization
Contact information
Practice address
1116 SUN VALLEY WAY, FLORHAM PARK, NJ 07932-3049
(973) 477-7732
Mailing address
1116 SUN VALLEY WAY, FLORHAM PARK, NJ 07932-3049
(973) 477-7732
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
NJ
Other
Enumeration date
12/26/2013
Last updated
12/26/2013
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