Organization
ATLANTIC DIETITIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA D ROBERTS RD (OWNER)
(609) 742-8790
Entity
Organization
Contact information
Practice address
408 E JIMMIE LEEDS RD, GALLOWAY, NJ 08205-9706
(609) 742-8790
Mailing address
13 CARDIFF RD, OCEAN CITY, NJ 08226-4613
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
800038
NJ
Other
Enumeration date
12/16/2010
Last updated
01/25/2011
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