Individual
HEIDI M ELICH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
1001 CENTER ST, LITTLE EGG HARBOR TWP, NJ 08087-1347
(609) 294-1988
(609) 296-6059
Mailing address
1001 CENTER ST, LITTLE EGG HARBOR TWP, NJ 08087-1347
(609) 294-1988
(609) 296-6059
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
07/08/2007
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