Individual
MERCY K. EDZIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDCES
Contact information
Practice address
654 MOUNT PROSPECT AVE STE 302, NEWARK, NJ 07104-3110
(201) 207-2158
(201) 604-4639
Mailing address
654 MOUNT PROSPECT AVE STE 302, NEWARK, NJ 07104-3110
(201) 207-2158
(201) 604-4639
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86020214
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194284844
ORGANIZATION NPI
NJ
Enumeration date
03/12/2019
Last updated
05/22/2023
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