| Organization Name: | DEBRA GROSSANO MS RD CDE LLC |
| NPI Number: | 1194906305 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBRA ANN GROSSANO (OWNER) |
| Mailing Address: | 725 River Rd Suite 106 Edgewater |
| State: | NJ US |
| Postal Code: | 070201171 |
| Phone Number: | 2016159139 |
| Fax Number: | 8663913047 |
| NPI Enumeration Date: | 11/15/2007 |
| NPI Last Update Date: | 07/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 875535 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| 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 |