Individual
ROSHAN KAYYAMKATTIL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CSG, CDN
Contact information
Practice address
1211 MARTINE AVE, PLAINFIELD, NJ 07060-2622
(908) 244-0586
Mailing address
1211 MARTINE AVE, PLAINFIELD, NJ 07060-2622
(908) 244-0586
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
005844
NY
133V00000X
Registered Dietitian
Primary
886764
NJ
133VN1101X
Gerontological Nutrition Registered Dietitian
886764
NJ
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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