Doctor Name: | SUMMER BUTLER |
NPI Number: | 1740526078 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | |
Business Practice Address: | 308 Willow Ave Dietary Department 1st Floor Hoboken, NJ - 070303808 |
Business Phone Number: | 2014181135 |
Business Fax Number: | |
Mailing Address: | 5466 Post Rd Apt 3, BRONX |
State: | NY |
Postal Code: | 104712607 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/13/2012 |
NPI Last Update Date: | 12/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |