Individual
GWEN GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSRD
Contact information
Practice address
280 NORWOOD AVE, WEST LONG BRANCH, NJ 07764-1879
(732) 222-1100
(732) 222-1103
Mailing address
280 NORWOOD AVE, WEST LONG BRANCH, NJ 07764-1879
(732) 222-1100
(732) 222-1103
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
720469
NJ
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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