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Individual

HEIDI M ELICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
712367
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1039742
HORIZON NJ HEALTH
NJ
01
1262939002
CIGNA
NJ
01
578504
AETNA
NJ
Enumeration date
04/14/2006
Last updated
07/13/2026
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