Susan C Canonico in Berkeley Heights - Dietitian, Registered
Susan C Canonico - NPI 1225024649
Susan C Canonico is a Dietitian, Registered in Berkeley Heights, New Jersey. Susan C Canonico practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Susan C Canonico is 1225024649. The last update date is 2008-03-27.
Susan C Canonico's current location address is 1 Diamond Hill Rd, Berkeley Heights, New Jersey. You can contact this provider via phone number 9082734300 and fax number 9082778760. The mailing address for Susan C Canonico is 1 Diamond Hill Rd, Berkeley Heights, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan C Canonico |
|---|---|
| Address | 1 Diamond Hill Rd, Berkeley Heights, New Jersey |
| Phone Number | 9082734300 |
| Fax Number | 9082778760 |
| Sole Proprietor | N |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1225024649 |
|---|---|
| Provider Enumeration Date | 2005-09-21 |
| Last Updated Date | 2008-03-27 |
Provider Mailing Address Detail
| Address | 1 Diamond Hill Rd |
|---|---|
| City | Berkeley Heights |
| State | New Jersey (NJ) |
| Post Code | 79222104 |
| Phone Number | 9082734300 |
| Fax Number | 9082778760 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 865045 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the unique identifier code issued to Susan C Canonico by the Centers for Medicare & Medicaid Services (CMS)?
The Susan C Canonico has been assigned the NPI (National Provider Identifier) 1225024649. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Susan C Canonico's facilities are situated?
The facilities of Susan C Canonico are physically located at the following address: 1 Diamond Hill Rd, Berkeley Heights, NJ, 79222104.
What is the Susan C Canonico's specialty and taxonomy code?
The Susan C Canonico's specialty is Dietitian, Registered, and the corresponding taxonomy code is 133V00000X.
When did Susan C Canonico receive its 1225024649 assignment?
The Susan C Canonico was assigned its 1225024649 on 2005-09-21, which is the date when this unique identifier was issued to the organization.
When was the information related to Susan C Canonico most recently updated or refreshed?
The details pertaining to the Susan C Canonico, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-27.
NPI Number: 1962405878
Address: 2650 Elm Ave Ste 218, Long Beach, CA