Individual
SUSAN C CANONICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
(908) 277-8760
Mailing address
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
(908) 277-8760
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
865045
NJ
Other
Enumeration date
09/21/2005
Last updated
03/27/2008
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