Individual
MRS. MARISSA PERROTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
32 HUBBARDTON RD, WAYNE, NJ 07470-8201
(516) 380-0493
Mailing address
32 HUBBARDTON RD, WAYNE, NJ 07470-8201
(516) 380-0493
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86104467
NJ
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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