Individual
MADALYN G VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
870 PALISADE AVE, TEANECK, NJ 07666-3419
(201) 836-5655
(201) 836-3571
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86087476
NJ
Other
Enumeration date
01/05/2019
Last updated
09/25/2024
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