MS. Tracy Nicole Gottschalk, REGISTERED DIETITIAN
NPI #1851923189 in Montclair, New Jersey
Provider Information
- NPI Number
- 1851923189
- Entity Type
- Individual
- Name
- MS. Tracy Nicole Gottschalk, REGISTERED DIETITIAN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- REGISTERED DIETITIAN
- Enumeration Date
- Feb 5, 2020
- Last Updated
- Dec 11, 2024
Practice Location
- Address
- 309 ORANGE RD
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042-4451
- Phone
- (908) 230-7648
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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