Doctor Name: | SHAUN SEGAL |
NPI Number: | 1902869316 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RD |
License Number: | |
Business Practice Address: | 18 Laurel Rd E Stratford, NJ - 080841327 |
Business Phone Number: | 8563467734 |
Business Fax Number: | |
Mailing Address: | 55 E Kings Hwy, Apt 910 MAPLE SHADE |
State: | NJ |
Postal Code: | 080522056 |
Phone Number: | 6096345656 |
Fax Number: | |
NPI Enumeration Date: | 04/07/2006 |
NPI Last Update Date: | 07/08/2007 |
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 |