Individual
BROCHA D BIRNBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
518 FOREST AVE APT B-11, LAKEWOOD, NJ 08701-2517
(773) 414-5037
Mailing address
518 FOREST AVE APT B-11, LAKEWOOD, NJ 08701-2517
(773) 414-5037
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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