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Individual

ANTHONY DISSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RDN

Contact information

Practice address
139 BRICK BLVD APT 233, BRICK, NJ 08723-7190
(856) 371-8916
Mailing address
139 BRICK BLVD APT 233, BRICK, NJ 08723-7190
(856) 371-8916

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
04/24/2023
Last updated
04/24/2023
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