NPI 1811636780
The Balanced Diet
Practice location
- Address
- 117 Mount Prospect Ave, Newark, NJ 07104-1013
- Phone
- (347) 644-8747
Authorised official
- Name
- Chesha Hodge
- Title
- Owner
- Phone
- (347) 644-8747
Registered specialties
Dietary Manager
Primary
Registry record
- NPI
- 1811636780
- Entity type
- Organization
- NPI issued
- 31 May 2022
- Record last updated
- 31 May 2022
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.