NPI 1225410806

Diane Fortino, RD

Practitioner Registered Dietitian Ridgewood, NJ

Practice location

Address: 240 E Glen Ave, Ridgewood, NJ 07450-1736
Phone: (201) 214-9253

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 634184 (NY)

Other Dietitian, Registered providers in New Jersey →

Registry record

NPI: 1225410806
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jun 2015
Record last updated: 19 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.