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Edison Medical Nutrition Center
Primary Care Clinic/Center in Edison, New Jersey
NPI 1528195468

Edison Medical Nutrition Center is a Primary Care Clinic/Center based in Edison, NJ and is specialized in Primary Care. Edison Medical Nutrition Center practices in Edison, NJ. The NPI Number for Edison Medical Nutrition Center is 1528195468 and holds a License No. MB046474 (New Jersey).

The current practice location address for Edison Medical Nutrition Center is 15 S Main St, Edison, NJ and can be reached out via phone at 732-906-8866.

Location: 15 S Main St, Edison, NJ, 08837-3447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528195468
Provider Name
Edison Medical Nutrition Center
Credential
Provider Entity Type
Organization
Address
15 S Main St, Edison, NJ, 08837-3447
Phone Number
732-906-8866
Fax Number
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
047830 05 NJ
institution
Provider Business Practice Location Address Details
Address
15 S Main St
City
Edison
State
New Jersey
Zip
08837-3447
Phone Number
732-906-8866
Fax Number
person
Provider Business Mailing Address Details
Address
15 S Main St
City
Edison
State
New Jersey
Zip
08837-3447
Phone Number
732-906-8866
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
MB046474 (New Jersey)
Definition
Definition to come...
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