Whalio Doctors

NPI 1942631411

Maria C Bongiovanni, RD

Practitioner Dietary Manager East Orange, NJ

Practice location

Address
385 Tremont Ave, East Orange, NJ 07018-1023
Phone
(973) 676-1000
Fax
(973) 395-7121

Registered specialties

Dietary Manager Primary
Dietary & Nutritional Service Providers Taxonomy 132700000X Licence 876176 (NJ)

Registry record

NPI
1942631411
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 Dec 2013
Record last updated
9 Dec 2013

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.