Individual
MELISSA IVANITSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
(732) 294-2766
Mailing address
100 ASPEN LN, FREEHOLD, NJ 07728-4134
(732) 294-2766
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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