| Doctor Name: | MS. ELIZABETH CANDELA |
| NPI Number: | 1558754465 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, RDN, ACSM EP(C) |
| License Number: | 1080483 |
| Business Practice Address: | 2 Ardsley Rd Glen Ridge, NJ - 070281702 |
| Business Phone Number: | 9738523335 |
| Business Fax Number: | |
| Mailing Address: | 2 Ardsley Rd, GLEN RIDGE |
| State: | NJ |
| Postal Code: | 070281702 |
| Phone Number: | 9738523335 |
| Fax Number: | |
| NPI Enumeration Date: | 03/17/2015 |
| NPI Last Update Date: | 03/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | 1080483 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |