Organization
THE BALANCED DIET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHESHA HODGE MPA, RDN (OWNER)
(347) 644-8747
Entity
Organization
Contact information
Practice address
117 MOUNT PROSPECT AVE, NEWARK, NJ 07104-1013
(347) 644-8747
Mailing address
117 MOUNT PROSPECT AVE, NEWARK, NJ 07104-1013
(347) 644-8747
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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