Diane Fortino, R.D.
NPI #1225410806 in Ridgewood, New Jersey
Provider Information
- NPI Number
- 1225410806
- Entity Type
- Individual
- Name
- Diane Fortino, R.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- R.D.
- Enumeration Date
- Jun 19, 2015
- Last Updated
- Jun 19, 2015
Practice Location
- Address
- 240 E GLEN AVE
- City
- Ridgewood
- State
- New Jersey
- ZIP Code
- 07450-1736
- Phone
- (201) 214-9253
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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