| Nutricultures Nutrition And Diabetes Center Llc | |
|
292 Bloomfield Ave Fl 2, Montclair, NJ 07042-3624 | |
| (201) 207-2158 | |
| Not Available |
| Full Name | Nutricultures Nutrition And Diabetes Center Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered - Nutrition, Metabolic |
| Location | 292 Bloomfield Ave Fl 2, Montclair, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194284844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | (* (Not Available)) | Primary |
| Provider Name | Mercy K. Edziah |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881152510 PECOS PAC ID: 6800139346 Enrollment ID: I20190523002286 |
| Mailing Address | Practice Location Address |
|---|---|
| Nutricultures Nutrition And Diabetes Center Llc 292 Bloomfield Ave Fl 2, Montclair, NJ 07042-3624 Ph: (201) 207-2158 | Nutricultures Nutrition And Diabetes Center Llc 292 Bloomfield Ave Fl 2, Montclair, NJ 07042-3624 Ph: (201) 207-2158 |
Jennifer Melanson, MA, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 36 Woodmont Rd, Montclair, NJ 07043 Phone: 646-554-5425 | |
Mrs. Christina M Kamilaris, RDN, CDN, CSSD, MS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 408 Grove St, Montclair, NJ 07043 Phone: 201-527-8180 | |
Emily Field, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 124 Valley Rd Apt J, Montclair, NJ 07042 Phone: 952-240-4821 | |
Ms. Aja Bussey, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 72 Chestnut St, Montclair, NJ 07042 Phone: 862-600-5042 | |
Mrs. Samantha Russomano, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 51 S Park St Apt 302, Montclair, NJ 07042 Phone: 862-703-9379 | |
Foodtrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 46 Montclair Ave, Montclair, NJ 07042 Phone: 845-590-5909 |