Individual
SUSAN BURGIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, R.D.
Contact information
Practice address
81 ALEXANDER AVE, MONTCLAIR, NJ 07043-2618
(973) 768-3328
(973) 746-8005
Mailing address
81 ALEXANDER AVE, MONTCLAIR, NJ 07043-2618
(973) 768-3328
(973) 746-8005
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
R540196
NJ
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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