Individual
ELIZABETH BADACZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
152 JOHNSON AVE, WALLINGTON, NJ 07057-2010
(551) 486-3199
Mailing address
152 JOHNSON AVE, WALLINGTON, NJ 07057-2010
(551) 486-3199
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00896970
NJ
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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