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Individual

SUSAN STALTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
108 WESLEY AVE, OCEAN CITY, NJ 08226-4243
(609) 283-6608
Mailing address
108 WESLEY AVE, OCEAN CITY, NJ 08226-4243

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86032568
251E00000X
Home Health Agency
Primary
DN005802
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1447616487
NPI
Enumeration date
01/06/2016
Last updated
03/05/2026
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