Individual
MRS. BETSY ROCHELLE DUBOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
8 OLD BRIDGE TPKE STE 7, SOUTH RIVER, NJ 08882-2400
(732) 390-4888
(732) 390-0255
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
634638
IL
133VN1005X
Renal Nutrition Registered Dietitian
634638
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053650
PROVIDER NUMBER
NJ
Enumeration date
04/07/2008
Last updated
11/15/2024
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