Doctor Name: | GWEN GREENBERG |
NPI Number: | 1205223757 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSRD |
License Number: | 720469 |
Business Practice Address: | 280 Norwood Ave West Long Branch, NJ - 077641879 |
Business Phone Number: | 7322221100 |
Business Fax Number: | 7322221103 |
Mailing Address: | 280 Norwood Ave, WEST LONG BRANCH |
State: | NJ |
Postal Code: | 077641879 |
Phone Number: | 7322221100 |
Fax Number: | 7322221103 |
NPI Enumeration Date: | 04/22/2015 |
NPI Last Update Date: | 04/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 720469 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |