Individual
MRS. COLLEEN MARIE MAGNANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
93 FRANKLIN TPKE, WALDWICK, NJ 07463-1820
(201) 312-7153
(201) 603-6406
Mailing address
93 FRANKLIN TURNPIKE, WARDWICK, NJ 07463-1820
(201) 312-7153
(201) 603-6406
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
978514
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
978514
REGISTERED DIETITIAN
—
Enumeration date
08/13/2008
Last updated
04/06/2015
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