Individual
SUSAN GRALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
529 ROUTE 515, 201 B, VERNON, NJ 07462
(973) 764-1600
(973) 858-0417
Mailing address
529 ROUTE 515, 201 B, VERNON, NJ 07462
(973) 764-1600
(973) 858-0417
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
929643
NJ
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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