Individual
MATTHEW LUONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN, CSSD, CDN
Contact information
Practice address
901 MADISON ST APT 3B, HOBOKEN, NJ 07030-6434
(732) 865-3640
Mailing address
901 MADISON ST APT 3B, HOBOKEN, NJ 07030-6434
(732) 865-3640
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
08/29/2020
Last updated
08/29/2020
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