Organization
DIETITIAN DIRECT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPTHI POTLURI MS,RD (PRESIDENT)
(908) 229-9225
Entity
Organization
Contact information
Practice address
904 OAK TREE AVE, SUITE C, SOUTH PLAINFIELD, NJ 07080-5126
(908) 229-9225
Mailing address
908 VILLAGE DR, AVENEL, NJ 07001-1013
(908) 229-9225
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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