| Doctor Name: | MRS. BETSY ROCHELLE DUBOV |
| NPI Number: | 1386817856 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | REGISTERED DIETITIAN |
| License Number: | 634638 |
| Business Practice Address: | 8 Old Bridge Tpke South River, NJ - 088822400 |
| Business Phone Number: | 7323904888 |
| Business Fax Number: | 7323909685 |
| Mailing Address: | 8 Old Bridge Tpke, SOUTH RIVER |
| State: | NJ |
| Postal Code: | 088822400 |
| Phone Number: | 7323904888 |
| Fax Number: | 7322389509 |
| NPI Enumeration Date: | 04/07/2008 |
| NPI Last Update Date: | 04/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1005X |
| License Number: | 634638 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Renal |
| Taxonomy Definition: | |