Individual
MISS ALICIA FRANCES FANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
140 PARK AVE, FLORHAM PARK, NJ 07932-1049
(973) 404-9700
(908) 673-7336
Mailing address
600 N WOLFE ST, WEINBERG GALLEY B3 100A, BALTIMORE, MD 21287-0005
(410) 955-6716
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01061949
NJ
Other
Enumeration date
10/11/2011
Last updated
10/18/2017
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