Individual
MRS. ERIN KELLY FALCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
31 LEROY PL, RED BANK, NJ 07701-1711
(732) 299-6624
Mailing address
31 LEROY PL, RED BANK, NJ 07701-1711
(732) 299-6624
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0177194
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
368337
MEDICARE PTAN
NJ
Enumeration date
05/24/2013
Last updated
02/17/2017
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