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Individual

MRS. DEANA MARIE RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN

Contact information

Practice address
140 E. RIDGEWOOD AVENUE, SUITE 415 C/O OFFICE 466 MAHER FINANCIAL GROUP, PARAMUS, NJ 07652
(201) 720-1900
(201) 367-3779
Mailing address
688 SEAGULL DRIVE, PARAMUS, NJ 07652-4944
(201) 960-9636
(201) 881-1629

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
849558
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
849558
REGISTERED DIETITIAN
NJ
05
862384012
NJ
Enumeration date
01/15/2019
Last updated
07/17/2024
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