Organization Name: | PROFESSIONAL ADVANTAGE NUTRITION AND FITNESS, LLC |
NPI Number: | 1134480528 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DINA FORD (PRESIDENT) |
Mailing Address: | 341 Railroad Ave East Rutherford |
State: | NJ US |
Postal Code: | 070731717 |
Phone Number: | 2014463736 |
Fax Number: | 2014387174 |
NPI Enumeration Date: | 06/03/2012 |
NPI Last Update Date: | 09/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 942839 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |