Doctor Name: | MR. GLEN LAWRENCE TOBIAS |
NPI Number: | 1164790044 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RD |
License Number: | 816401 |
Business Practice Address: | 133 E 58th St New York, NY - 100221236 |
Business Phone Number: | 2017234041 |
Business Fax Number: | |
Mailing Address: | 2216 High Ridge Rd, STAMFORD |
State: | CT |
Postal Code: | 069032905 |
Phone Number: | 2017234041 |
Fax Number: | |
NPI Enumeration Date: | 12/07/2011 |
NPI Last Update Date: | 12/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 816401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |