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Contact Information

MAVITAL NUTRITION LLC
722 SCOTLAND RD,
CITY OF ORANGE, NJ07050
 Phone: 973-380-7294
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for MAVITAL NUTRITION LLC

NPI # 1245105774
LBN Legal business name MAVITAL NUTRITION LLC
Authorized official MARQUELINE VAL - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2025
Last updated 10/06/2025 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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