Individual
MRS. ELIZABETH BACKER AMISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDE
Contact information
Practice address
53 S MAIN STREET, 3F, MEDFORD, NJ 08055-2442
(609) 726-1407
(973) 270-3680
Mailing address
353 BIRMINGHAM RD, PEMBERTON, NJ 08068-1325
(973) 270-3680
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
948579
NJ
Other
Enumeration date
11/16/2009
Last updated
04/23/2024
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