Doctor Name: | DR. MAL HILL |
NPI Number: | 1235457185 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | |
Business Practice Address: | 441 Twin Oak Rd South Orange, NJ - 070791219 |
Business Phone Number: | 8622051129 |
Business Fax Number: | 9737610049 |
Mailing Address: | 441 Twin Oak Rd, SOUTH ORANGE |
State: | NJ |
Postal Code: | 070791219 |
Phone Number: | 8622051129 |
Fax Number: | 9737610049 |
NPI Enumeration Date: | 05/16/2010 |
NPI Last Update Date: | 01/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |