Marilyn Moore Driscoll in Newark - Dietitian, Registered

Marilyn Moore Driscoll - NPI 1639216260

Marilyn Moore Driscoll is a Dietitian, Registered in Newark, New Jersey. Marilyn Moore Driscoll practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Marilyn Moore Driscoll is 1639216260. The last update date is 2007-07-08.

Marilyn Moore Driscoll's current location address is 201 Lyons Avenue, Newark, New Jersey. You can contact this provider via phone number 9739264607 and fax number 9739266288. The mailing address for Marilyn Moore Driscoll is 201 Lyons Avenue, Newark, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Marilyn Moore Driscoll
Address 201 Lyons Avenue, Newark, New Jersey
Phone Number 9739264607
Fax Number 9739266288
Sole Proprietor N
Credentials RD

NPI Number Detail

NPI Number 1639216260
Provider Enumeration Date 2007-01-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 201 Lyons Avenue
City Newark
State New Jersey (NJ)
Post Code 71120
Phone Number 9739264607
Fax Number 9739266288

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 719760
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2339245 NJ UNITED HEALTH CARE
3478305 NJ AETNA US HEALTH CARE
P2951221 NJ OXFORD HEALTH PLAN

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FAQs about Marilyn Moore Driscoll

What is the Marilyn Moore Driscoll's 1639216260?

The Marilyn Moore Driscoll's NPI (National Provider Identifier) Number is 1639216260. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Marilyn Moore Driscoll is physically located?

The Marilyn Moore Driscoll is physically situated at the following address: 201 Lyons Avenue, Newark, NJ, 71120.

What is Marilyn Moore Driscoll's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Marilyn Moore Driscoll is Dietitian, Registered, and the taxonomy classification code that categorizes this area of expertise is 133V00000X.

On what date was the 1639216260 assigned to Marilyn Moore Driscoll?

The Marilyn Moore Driscoll was issued its 1639216260 on 2007-01-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Marilyn Moore Driscoll, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Marilyn Moore Driscoll, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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