Provider Demographics
NPI:1598526923
Name:ELP NUTRITION
Entity Type:Organization
Organization Name:ELP NUTRITION
Other - Org Name:ERIKA PUGH, RD
Other - Org Type:Other Name
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PUGH
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:856-264-6607
Mailing Address - Street 1:1008 SASSAFRAS SHORE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSGROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:08318-9160
Mailing Address - Country:US
Mailing Address - Phone:856-264-6607
Mailing Address - Fax:
Practice Address - Street 1:1165 N TUCKAHOE RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08094-3459
Practice Address - Country:US
Practice Address - Phone:302-336-8254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty