Organization
ATLANTIC COAST LIVING FIT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBE A. BOURGOIN RD (PRESIDENT)
(609) 677-6980
Entity
Organization
Contact information
Practice address
323 S PITNEY RD, SUITE 201, GALLOWAY, NJ 08205-9612
(609) 677-6980
(609) 677-6983
Mailing address
323 S PITNEY RD, SUITE 201, GALLOWAY, NJ 08205-9612
(609) 677-6980
(609) 677-6983
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/28/2007
Last updated
12/01/2011
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