Organization
MADALYN DIABETES NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADALYN VASQUEZ RDN, CDCES (REGISTERED DIETITIAN)
(862) 262-8326
Entity
Organization
Contact information
Practice address
18-20 LACKAWANNA PLZ STE 200, MONTCLAIR, NJ 07042-3642
(862) 262-8326
(973) 333-4070
Mailing address
459 6TH AVE, PATERSON, NJ 07514-2282
(862) 262-8326
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/27/2021
Last updated
04/19/2022
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