Individual
SHIRA ISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., M.P.H.
Contact information
Practice address
14 TENNYSON PL, APT. B, PASSAIC, NJ 07055-4514
(973) 470-5719
Mailing address
14 TENNYSON PL, APT. B, PASSAIC, NJ 07055-4514
(973) 470-5719
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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