institution
Sivam Diabetes, Nutrition And Family Healthcare Llc
Family Nurse Practitioner in East Orange, New Jersey
NPI 1568974418

Sivam Diabetes, Nutrition And Family Healthcare Llc is a Family Nurse Practitioner based in Newark, NJ and is specialized in Family. Sivam Diabetes, Nutrition And Family Healthcare Llc practices in East Orange, NJ. The NPI Number for Sivam Diabetes, Nutrition And Family Healthcare Llc is 1568974418 and holds a License No. 0071705 (New Jersey).

The current practice location address for Sivam Diabetes, Nutrition And Family Healthcare Llc is 240 N Arlington Ave, East Orange, NJ and can be reached out via phone at 201-618-1472.

Location: 240 N Arlington Ave, East Orange, NJ, 07106
institution
Provider Profile Details
NPI Number
1568974418
Provider Name
Sivam Diabetes, Nutrition And Family Healthcare Llc
Credential
Provider Entity Type
Organization
Address
240 N Arlington Ave, East Orange, NJ, 07106
Phone Number
201-618-1472
Fax Number
Provider Enumeration Date
11/01/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
240 N Arlington Ave
City
State
Zip
07017-3802
Phone Number
201-618-1472
Fax Number
person
Provider Business Mailing Address Details
Address
240 N Arlington Ave
City
State
Zip
07017-3802
Phone Number
201-618-1472
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Metabolic
Taxonomy
License No.
26NJ00421400 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Diabetes Educator
Taxonomy
License No.
26NR11201600 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
0071705 (Illinois)
Definition
Definition to come...
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