Individual
CHANIE KOPLOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
290 BROOK AVE, PASSAIC, NJ 07055-3314
(973) 574-8736
Mailing address
290 BROOK AVE, PASSAIC, NJ 07055-3314
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
891928
NY
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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