| Tavares Medical Nutrition Therapy Llc | |
|
1100 Avenue At Port Imperial Apt 910, Weehawken, NJ 07086-6303 | |
| (201) 704-4654 | |
| Not Available |
| Full Name | Tavares Medical Nutrition Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 1100 Avenue At Port Imperial Apt 910, Weehawken, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528660099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tavares Medical Nutrition Therapy Llc 1100 Avenue At Port Imperial Apt 910, Weehawken, NJ 07086-6303 Ph: (201) 704-4654 | Tavares Medical Nutrition Therapy Llc 1100 Avenue At Port Imperial Apt 910, Weehawken, NJ 07086-6303 Ph: (201) 704-4654 |
Alycea Harrison, MS, RD, CDN, CNSC, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1550 Harbor Blvd Apt 2410, Weehawken, NJ 07086 Phone: 973-216-6141 | |
Onesol Nutrition, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 407 Gregory Ave, Weehawken, NJ 07086 Phone: 201-325-0151 Fax: 201-325-0152 | |
Mrs. Soledad Hearon, R.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 407 Gregory Ave, Weehawken, NJ 07086 Phone: 201-325-0151 Fax: 201-325-0152 | |
Ms. Michelle Tavares, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1100 Avenue At Port Imperial Apt 910, Weehawken, NJ 07086 Phone: 201-704-4654 |