Individual
MATTHEW CARMEN-WIJBENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPH, RDN
Contact information
Practice address
10 TENNEY RD, WEST ORANGE, NJ 07052-1316
(862) 216-7987
Mailing address
10 TENNEY RD, WEST ORANGE, NJ 07052-1316
(862) 216-7987
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86171763
NJ
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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