Individual
CAROL B. SALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
28 KATHY ST, KENDALL PARK, NJ 08824-1605
(732) 821-0911
(732) 940-2670
Mailing address
28 KATHY ST, KENDALL PARK, NJ 08824-1605
(732) 821-0911
(732) 940-2670
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
110631
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2075442
AETNA PROVIDER
NJ
01
—
5580532
CIGNA PROVIDER
NJ
01
—
P3156966
OXFORD PROVIDER
NJ
Enumeration date
09/22/2006
Last updated
07/08/2007
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