Madalyn Diabetes Nutrition LLC
NPI #1639839087 in Montclair, New Jersey
Provider Information
- NPI Number
- 1639839087
- Entity Type
- Organization
- Organization Name
- Madalyn Diabetes Nutrition LLC
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Dec 27, 2021
- Last Updated
- Apr 19, 2022
Practice Location
- Address
- 18-20 LACKAWANNA PLZ STE 200
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042-3642
- Phone
- (862) 262-8326
Authorized Official
- Name
- MADALYN VASQUEZ, RDN, CDCES
- Title
- REGISTERED DIETITIAN
- Phone
- (862) 262-8326
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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