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NPI Code Detail

MEDICARE: MEIRA WALDMAN RD LLC

MEDICARE: MEIRA WALDMAN RD LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian
2133N00000XNutritionist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699223750
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEIRA WALDMAN RD LLC
Provider Business Mailing Address
First Line : 205 WYNATT STREET
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-4839
Country : US
Telephone Number : 732-534-0610
Fax Number : 848-373-9499
Provider Business Practice Location Address
First Line : 205 WYNATT STREET
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-4839
Country : US
Telephone Number : 732-534-0610
Fax Number : 848-373-9499
Authorized Official
Title or Position : KP OWNER
Name : MRS. MEIRA RAIZEL WALDMAN
Credential : RD
Telephone Number : 732-534-0610
Provider Enumeration Date : 09/19/2016
Last Update Date : 03/27/2025

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Directions to “MEIRA WALDMAN RD LLC ” Practice Location

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