Individual
MS. PAVAN REKHA SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS., RD., CDE
Contact information
Practice address
271 GROVE AVE, STE A, VERONA, NJ 07044-1731
(973) 239-2600
(973) 239-0482
Mailing address
9 BAKLEY TER, WEST ORANGE, NJ 07052-2169
(739) 715-1630
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
860319
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3724244
HMO
NJ
01
—
5530864
CIGNA HEALTH CARE
NJ
01
—
7964646
AETNA
NJ
01
—
P3465920
OXFORD HEALTH CARE PLAN
NJ
Enumeration date
10/02/2006
Last updated
09/26/2023
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