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Individual

GAIL R. GROZALIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD,CDE

Contact information

Practice address
35 STONEHEDGE DR, STOCKHOLM, NJ 07460-1101
(973) 222-5129
Mailing address
35 STONEHEDGE DR, STOCKHOLM, NJ 07460-1101
(973) 222-5129

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
875478
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7605762
AETNA
NJ
01
P3650261
OXFORD HEALTH PLANS
NJ
Enumeration date
10/20/2006
Last updated
07/08/2007
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