Mavis Camalita Ermakov in Newark - Nutrition, Metabolic
Mavis Camalita Ermakov - NPI 1265614911
Mavis Camalita Ermakov is a Nutrition, Metabolic in Newark, New Jersey. Mavis Camalita Ermakov practices all healthcare services and medical treatments related to Nutrition, Metabolic. The NPI Number for Mavis Camalita Ermakov is 1265614911. The last update date is 2021-08-17.
Mavis Camalita Ermakov's current location address is 741 Broadway, Newark, New Jersey. You can contact this provider via phone number 9734831300. The mailing address for Mavis Camalita Ermakov is 741 Broadway, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mavis Camalita Ermakov |
|---|---|
| Address | 741 Broadway, Newark, New Jersey |
| Phone Number | 9734831300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | R.D., RN., |
NPI Number Detail
| NPI Number | 1265614911 |
|---|---|
| Provider Enumeration Date | 2007-12-04 |
| Last Updated Date | 2021-08-17 |
Provider Mailing Address Detail
| Address | 741 Broadway |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71044309 |
| Phone Number | 9734831300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Metabolic |
|---|---|
| Taxonomy | 133Vn1006X |
| Licence No | 717052 (ID#) |
|
Definition: A dietitian who specializes in metabolic and nutritional disorders. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 143533620 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mavis Camalita Ermakov by the Centers for Medicare & Medicaid Services?
The Mavis Camalita Ermakov has been assigned the NPI (National Provider Identifier) 1265614911 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Mavis Camalita Ermakov is located?
The Mavis Camalita Ermakov is situated at the following address: 741 Broadway, Newark, NJ, 71044309.
What is Mavis Camalita Ermakov's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mavis Camalita Ermakov's specialized field of practice is Nutrition, Metabolic, and the corresponding taxonomy code that categorizes this area of specialization is 133Vn1006X.
On what date did the Mavis Camalita Ermakov receive the assignment of its 1265614911 from the Centers for Medicare & Medicaid Services?
The Mavis Camalita Ermakov was issued its 1265614911 by the Centers for Medicare & Medicaid Services on 2007-12-04.
As of what date was the information regarding Mavis Camalita Ermakov, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mavis Camalita Ermakov, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-08-17.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH