| Sid Iii,llc | |
|
545 N Route 73, West Berlin, NJ 08091-9242 | |
| (856) 753-1800 | |
| (856) 753-6200 |
| Full Name | Sid Iii,llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 545 N Route 73, West Berlin, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508317801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN005313 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sid Iii,llc P.o. Box 18, West Berlin, NJ 08091 Ph: (856) 753-1800 | Sid Iii,llc 545 N Route 73, West Berlin, NJ 08091-9242 Ph: (856) 753-1800 |
Amalia Kramvis, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 411 Commerce Ln, West Berlin, NJ 08091 Phone: 856-753-7763 Fax: 856-753-7714 | |
Sydney Clavijo, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 270 Grove Ave, West Berlin, NJ 08091 Phone: 585-683-3979 | |
Kerry White, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 27 S Rose Ln, West Berlin, NJ 08091 Phone: 856-449-9755 |