Individual
MS. HERMINE KESSLER AXELROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD CDE
Contact information
Practice address
2100 LINWOOD AVE, SUITE 15D, FORT LEE, NJ 07024-3141
(201) 461-9279
(201) 461-8262
Mailing address
2100 LINWOOD AVE, SUITE 15D, FORT LEE, NJ 07024-3141
(201) 461-9279
(201) 461-8262
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00873077
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00873077
RD AM DIETETIC ASSOCIATIO
—
01
—
22220261
CDE AM ASSOCIATION OF DIA
—
Enumeration date
01/23/2007
Last updated
07/08/2007
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