Organization · Type 2 NPI
Optimally Nourished LLC
Clinic/Center · Belleville, NJ
NPI number
1760034292
Active
Practice location
303 Belmont Ave Ste 2
Belleville, NJ 07109-1103
Mailing address
48 Spruce St
Nutley, NJ 07110-1063
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Other clinic/center providers in Belleville
About NPI 1760034292
Optimally Nourished LLC's National Provider Identifier is 1760034292, issued on Jul 15, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Belleville, NJ. The record was last updated on Jul 15, 2019.