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NPI Code Detail

MEDICARE: JULIA SROUJI, RDN INC

MEDICARE: JULIA SROUJI, RDN INC
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

General Provider Information

NPI Number : 1912481771
Entity Type Code : Organization
Provider Name (Legal Business Name) : JULIA SROUJI, RDN INC
Provider Business Mailing Address
First Line : 15 PEGGY RD
Second Line :
City : EAST BRUNSWICK
State : NJ
Zip : 08816-3939
Country : US
Telephone Number : 732-343-1313
Fax Number :
Provider Business Practice Location Address
First Line : 63 MILLTOWN RD
Second Line :
City : EAST BRUNSWICK
State : NJ
Zip : 08816-2378
Country : US
Telephone Number : 781-430-8816
Fax Number :
Authorized Official
Title or Position : BUSINESS OWNER
Name : MS. JULIA SROUJI
Credential : RDN
Telephone Number : 781-430-8816
Provider Enumeration Date : 09/18/2018
Last Update Date : 09/18/2018

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