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Contact Information

LAURA C BENNETT, RD
405 JEFFERSON ST
APT 1
HOBOKEN, NJ07030
 Phone: 732-991-7406
 Fax:
 Website: https://www.moonrisenutrition.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for LAURA C BENNETT · (Female)

NPI Number 1659606036
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 10/02/2009
Last updated 06/04/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 1010307
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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