Doctor Name: | MONICA BLISSETT |
NPI Number: | 1437523503 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 714983 |
Business Practice Address: | 61 Grandview Ave North Plainfield, NJ - 070604144 |
Business Phone Number: | 9083092307 |
Business Fax Number: | 9087541068 |
Mailing Address: | 61 Grandview Ave, NORTH PLAINFIELD |
State: | NJ |
Postal Code: | 070604144 |
Phone Number: | 9083092307 |
Fax Number: | 9087541068 |
NPI Enumeration Date: | 11/30/2015 |
NPI Last Update Date: | 11/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1006X |
License Number: | 714983 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Metabolic |
Taxonomy Definition: |