Individual
TAYLOR WALLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN, CSCS, CPT
Contact information
Practice address
46 ROBINHOOD AVE, CLOSTER, NJ 07624-1130
(917) 572-7137
Mailing address
46 ROBINHOOD AVE, CLOSTER, NJ 07624-1130
(917) 572-7137
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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