Individual
MISS BEVERLEY MARGENA WAITHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA RD CDE
Contact information
Practice address
254 EASTON AVE, DIABETES CARE AND CONTROLL CENTER ST PETERS UNIVERSITY, NEW BRUNSWICK, NJ 08901
(732) 745-8600
(732) 249-0969
Mailing address
117 ELLIOTT PLACE, SO PLAINFIELD, NJ 07080
(908) 757-8043
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
717562
—
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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