Individual
RACHAEL ANN PATUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CSP
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-2986
Mailing address
45 JEFFERSON ST, METUCHEN, NJ 08840-2841
(973) 926-2986
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
08/24/2011
Last updated
08/15/2012
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