Healthcare Provider Details

I. General information

NPI: 1477376572
Provider Name (Legal Business Name): ENJOYABLE PLATE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2024
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 ALDEN ST STE 12
CRANFORD NJ
07016-2149
US

IV. Provider business mailing address

27 DUNHAM AVE
CRANFORD NJ
07016-2060
US

V. Phone/Fax

Practice location:
  • Phone: 908-248-2330
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: REBECCA ZELTMANN
Title or Position: OWNER
Credential:
Phone: 908-248-2330