Doctor Name: | THERESA BACE |
NPI Number: | 1255649307 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 00996520 |
Business Practice Address: | 55 Madison Ave Suite 400 Morristown, NJ - 079607337 |
Business Phone Number: | 2015324711 |
Business Fax Number: | 9733795700 |
Mailing Address: | 55 Madison Ave, Suite 400 MORRISTOWN |
State: | NJ |
Postal Code: | 079607337 |
Phone Number: | 2015324711 |
Fax Number: | 9733795700 |
NPI Enumeration Date: | 09/22/2010 |
NPI Last Update Date: | 09/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 00996520 |
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 |