Healthcare Provider Details

I. General information

NPI: 1790174498
Provider Name (Legal Business Name): VERNON NUTRITION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2015
Last Update Date: 01/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 OXBOW LN
FRANKLIN NJ
07416-1213
US

IV. Provider business mailing address

6 OXBOW LN
FRANKLIN NJ
07416-1213
US

V. Phone/Fax

Practice location:
  • Phone: 973-827-1733
  • 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: ERIN PALINSKI
Title or Position: OWNER
Credential:
Phone: 973-827-1733