Individual
MRS. DINA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
341 RAILROAD AVE, EAST RUTHERFORD, NJ 07073-1717
(201) 446-3736
(201) 438-7174
Mailing address
201 UNION AVE, WOOD RIDGE, NJ 07075-1906
(201) 446-3736
(201) 438-7174
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
942839
NJ
Other
Enumeration date
04/28/2012
Last updated
09/27/2013
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