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NPI 1356706972

IndividualActive

Benjamin Beideman

NPI 1356706972 · Nutritionist · Forked River, NJ

Provider details

NPI number: 1356706972
Entity type: Individual
Primary specialty: NutritionistDietary & Nutritional Service Providers
Sex: Male
Sole proprietor: Yes
License: NOT REQUIRED (NJ)

Practice location

610 Lacey Rd Unit 749

Forked River, NJ 08731-8037

Phone: (732) 930-1820

More NJ providers

Mailing address

610 Lacey Rd Unit 749

Forked River, NJ 08731-8037

Registry dates

Enumerated: 2015-12-26
Last updated: 2020-10-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Benjamin Beideman — NPI 1356706972, Forked River, NJ | NPI Central