NPI 1114760147

The Gym Lakewood

Organisation Registered Dietitian Lakewood, NJ

Practice location

Address: 1700 Madison Ave, Lakewood, NJ 08701-1253
Phone: (732) 364-4404
Mailing address: 801 Madison Ave APT B4, Lakewood, NJ 08701-2676

Authorised official

Name: Faigy Anton
Title: Dietitian
Phone: (773) 664-5610

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Other Dietitian, Registered providers in New Jersey →

Registry record

NPI: 1114760147
Entity type: Organization
NPI issued: 17 Jun 2024
Record last updated: 17 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.