Individual
MISS ALISSA HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
99 BEAUVOIR AVE, EATING DISORDERS UNIT, SUMMIT, NJ 07901-3533
(908) 522-4628
Mailing address
99 BEAUVOIR AVE, EATING DISORDERS UNIT, SUMMIT, NJ 07901-3533
(908) 522-4628
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1016027
NJ
Other
Enumeration date
01/13/2011
Last updated
10/09/2012
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