Individual
MS. SUSAN PATLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD
Contact information
Practice address
12 DANIEL DRIVE, MATAWAN, NJ 07747-2742
(732) 583-3022
(732) 583-3022
Mailing address
12 DANIEL DRIVE, MATAWAN, NJ 07747-2742
(732) 583-3022
(732) 583-3022
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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