Individual
MICHAEL JOHN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RDN
Contact information
Practice address
276 RANDOLPH AVE, EAST RUTHERFORD, NJ 07073-1345
(201) 739-5023
Mailing address
276 RANDOLPH AVE, EAST RUTHERFORD, NJ 07073-1345
(201) 739-5023
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86101508
NJ
Other
Enumeration date
03/11/2019
Last updated
08/20/2019
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