Individual
MS. KATHLEEN M. REISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD
Contact information
Practice address
33 OVERLOOK RD, SUMMIT, NJ 07901-3570
(908) 522-2765
Mailing address
15 THE CRES, MONTCLAIR, NJ 07042-2669
(973) 464-4573
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
655393
—
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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