Provider Demographics
NPI:1952986986
Name:NUTRIAID CONSULTING, LLC
Entity type:Organization
Organization Name:NUTRIAID CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NIDHI
Authorized Official - Middle Name:
Authorized Official - Last Name:AGRAWAL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD; RDN
Authorized Official - Phone:856-520-3451
Mailing Address - Street 1:4, NINTH STREET
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4877
Mailing Address - Country:US
Mailing Address - Phone:856-520-3451
Mailing Address - Fax:856-772-9349
Practice Address - Street 1:4, NINTH STREET
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4877
Practice Address - Country:US
Practice Address - Phone:856-520-3451
Practice Address - Fax:856-772-9349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-11
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service