Individual
SUSAN KORNBLUM SCHACHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.R.D.
Contact information
Practice address
8 HILLSIDE AVE, SUITE 206, MONTCLAIR, NJ 07042-2129
(973) 744-7495
Mailing address
54 COURTER AVE, MAPLEWOOD, NJ 07040-2817
(973) 219-2635
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
727116
NY
Other
Enumeration date
01/27/2015
Last updated
08/09/2015
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