Organization · Type 2 NPI
Gocopetra Care Consultant LLC
Metabolic Nutrition Registered Dietitian · Newark, NJ
NPI number
1124122353
Active
Practice location
170 Norwood St
Newark, NJ 07106-2627
Fax (973) 324-2218
Mailing address
540 Hillside Ter
West Orange, NJ 07052-4306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Metabolic Nutrition Registered Dietitian Primary | 133VN1006X | 927499 (IL) |
Metabolic Nutrition Registered Dietitian: A registered dietitian who achieves specialized competency in metabolic nutrition.
Another provider at this address
About NPI 1124122353
Gocopetra Care Consultant LLC's National Provider Identifier is 1124122353, issued on Sep 8, 2006. The primary taxonomy on file is Metabolic Nutrition Registered Dietitian (133VN1006X), and the practice location is in Newark, NJ. The record was last updated on Nov 20, 2007.