Individual
ALEXA BACINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
75 E NORTHFIELD RD, LIVINGSTON, NJ 07039-4532
(908) 516-9850
Mailing address
375 MOUNT PLEASANT AVE STE 105, WEST ORANGE, NJ 07052-2751
(973) 322-6900
(973) 322-6996
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86036487
NJ
133V00000X
Registered Dietitian
—
NJ
Other
Enumeration date
07/22/2021
Last updated
02/01/2022
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