Doctor Name: | MRS. RANDI BETH GREEN |
NPI Number: | 1245355866 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 960359 |
Business Practice Address: | 158 Linwood Plz Suite 318 Fort Lee, NJ - 070243761 |
Business Phone Number: | 2014610585 |
Business Fax Number: | |
Mailing Address: | 247 Reichelt Rd, Apt D NEW MILFORD |
State: | NJ |
Postal Code: | 076466123 |
Phone Number: | 9088726519 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 960359 |
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 |