IndividualActive
Edward Gruber, CN
NPI 1619203296 · Nutritionist · Lakewood, NJ
Provider details
- NPI number
- 1619203296
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- CN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 001929 (WA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1771 Madison Ave
Lakewood, NJ 08701-1251
Phone: (732) 364-2144
Fax: (732) 364-3559
Approximate (ZIP-level) locationGet directions
Mailing address
1771 Madison Ave
Lakewood, NJ 08701-1251
Registry dates
- Enumerated
- 2009-11-02
- Last updated
- 2009-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.