| Hackensack Meridian Nutrition | |
|
27 S Cooks Bridge Rd Ste 1-03 Jackson NJ 08527-2460 | |
| (732) 928-1126 | |
| (609) 601-1162 |
| Full Name | Hackensack Meridian Nutrition |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 27 S Cooks Bridge Rd Ste 1-03, Jackson, New Jersey |
| Authorized Official Name and Position | James Clarke (MD) |
| Authorized Official Contact | 7328070877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hackensack Meridian Nutrition 27 S Cooks Bridge Rd Ste 1-03 Jackson NJ 08527-2460 Ph: (732) 928-1126 | Hackensack Meridian Nutrition 27 S Cooks Bridge Rd Ste 1-03 Jackson NJ 08527-2460 Ph: (732) 928-1126 |
| NPI Number | 1063057024 |
|---|---|
| Provider Enumeration Date | 11/14/2019 |
| Last Update Date | 03/09/2020 |
| Certification Date | 03/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063057024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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