Organization
EATWISERX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL B FREEDMAN (MANAGING MEMBER)
(203) 612-3430
Entity
Organization
Contact information
Practice address
45 PERKINS RD, GREENWICH, GREENWICH, CT 06830-3510
(203) 612-3430
Mailing address
PO BOX 4876, GREENWICH, CT 06831-0417
(203) 612-3430
(215) 283-1919
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005273
NY
Other
Enumeration date
12/04/2011
Last updated
05/20/2013
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