Individual
MARISOL VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
90 E HALSEY RD # 321, PARSIPPANY, NJ 07054-3713
(973) 744-7495
(973) 695-1655
Mailing address
90 E HALSEY RD STE 321, PARSIPPANY, NJ 07054-3713
(973) 744-7495
(973) 771-3852
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
946877
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193521
MEDICARE
NJ
01
—
2903060
UNITEDHEALTHCARE
NJ
01
—
6263501
AETNA HMO
NJ
01
—
9817164
AETNA NON HMO
NJ
01
—
P3906886
OXFORD
NJ
Enumeration date
05/14/2008
Last updated
02/12/2024
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