Individual
NOELLE RUSSOMANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
63 ROOSEVELT ST, ROSELAND, NJ 07068-1258
(862) 754-8644
Mailing address
63 ROOSEVELT ST, ROSELAND, NJ 07068-1258
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86331001
NJ
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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