Individual
CHESHA HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPA, RDN
Contact information
Practice address
117 MOUNT PROSPECT AVE, NEWARK, NJ 07104-1013
(347) 644-8747
Mailing address
117 MOUNT PROSPECT AVE, NEWARK, NJ 07104-1013
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811636780
—
NJ
Enumeration date
02/06/2023
Last updated
02/06/2023
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