Individual
CHEUNG KO CORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA, RD
Contact information
Practice address
304 LINDEN ST, MAHWAH, NJ 07430-2065
(203) 400-0506
Mailing address
304 LINDEN ST, MAHWAH, NJ 07430-2065
(203) 400-0506
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
873640
NJ
Other
Enumeration date
03/01/2011
Last updated
04/14/2014
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