| Optimally Nourished LLC | |
|
303 Belmont Ave Ste 2 Belleville NJ 07109-1103 | |
| (973) 751-8411 | |
| Not Available |
| Full Name | Optimally Nourished LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 303 Belmont Ave Ste 2, Belleville, New Jersey |
| Authorized Official Name and Position | Amy K Murray (OWNER) |
| Authorized Official Contact | 2244362606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimally Nourished LLC 48 Spruce St Nutley NJ 07110-1063 Ph: (224) 436-2606 | Optimally Nourished LLC 303 Belmont Ave Ste 2 Belleville NJ 07109-1103 Ph: (973) 751-8411 |
| NPI Number | 1760034292 |
|---|---|
| Provider Enumeration Date | 07/15/2019 |
| Last Update Date | 07/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760034292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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