Individual
ELISHEVA C ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5 MERLOT CT, LAKEWOOD, NJ 08701-4668
(732) 581-3211
Mailing address
5 MERLOT CT, LAKEWOOD, NJ 08701-4668
(732) 581-3211
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86114938
NJ
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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