Individual
MARYAM NIKANTABAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 GRAISBURY AVE, HADDONFIELD, NJ 08033-3021
(570) 985-0955
Mailing address
435 BEECH AVE, HERSHEY, PA 17033-1610
(570) 985-0955
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
DN006783
PA
Other
Enumeration date
01/02/2020
Last updated
05/20/2026
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