Organization
LBJ NUTRITION CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ABBY J BLAUSTEIN MS, RD (OWNER)
(973) 722-5861
Entity
Organization
Contact information
Practice address
147 COLUMBIA TURNPIKE, FLORHAM PARK, NJ 07932
(973) 410-9700
Mailing address
4 EXETER LN, MORRISTOWN, NJ 07960-6340
(973) 722-5861
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
855316
IL
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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