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19 Keswick Rd East Windsor NJ 08520-2963 | |
(609) 336-7700 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 19 Keswick Rd, East Windsor, New Jersey |
Authorized Official Name and Position | Sangeetha Kumar Vasishta (REGISTERED DIETITIAN) |
Authorized Official Contact | 6096300017 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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104 Hickory Corner Rd Suite 201 East Windsor NJ 08520-2460 Ph: (609) 336-7700 | 19 Keswick Rd East Windsor NJ 08520-2963 Ph: (609) 336-7700 |
NPI Number | 1578992350 |
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Provider Enumeration Date | 11/02/2013 |
Last Update Date | 01/15/2014 |
Identifier | Type | State | Issuer |
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1578992350 | NPI | - | NPPES |
983823 | Other | COMMISSION OF DIETETIC REGISTRATION |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 983823 (New Jersey) | Primary |
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