NPI 1356706972

Benjamin Frederick Beideman

Practitioner Nutritionist Forked River, NJ

Practice location

Address: 610 Lacey Rd Unit 749, Forked River, NJ 08731-8037
Phone: (732) 930-1820

Registered specialties (2)

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence NOT REQUIRED (NJ)

Other Nutritionist providers in New Jersey →

Nutrition Education Nutritionist

Dietary & Nutritional Service Providers Taxonomy 133NN1002X Licence NOT REQUIRED (NJ)

Registry record

NPI: 1356706972
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Dec 2015
Record last updated: 27 Oct 2020

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.