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Individual

AMY GORIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN

Contact information

Practice address
302 PAVONIA AVE, APT. 1, JERSEY CITY, NJ 07302-1504
(850) 294-1388
Mailing address
302 PAVONIA AVE, APT. 1, JERSEY CITY, NJ 07302-1504
(850) 294-1388

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
1065020
NJ
133NN1002X
Nutrition Education Nutritionist
1065020
NJ
133V00000X
Registered Dietitian
Primary
1065020
NJ

Other

Enumeration date
01/25/2016
Last updated
01/25/2016
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