Individual
HEATHER CAMPANILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
47 POWELL RD, ALLENDALE, NJ 07401-2010
(201) 819-8545
Mailing address
47 POWELL RD, ALLENDALE, NJ 07401-2010
(201) 819-8545
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
927446
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
927446
CDR
NJ
Enumeration date
10/12/2016
Last updated
07/31/2023
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