Individual
MICHELLE SALVA PATELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., C.N.S.D.
Contact information
Practice address
210 MAIN ST, MADISON, NJ 07940-2285
(973) 377-6700
Mailing address
210 MAIN ST, MADISON, NJ 07940-2285
(520) 603-3157
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
951808
NJ
Other
Enumeration date
03/20/2009
Last updated
03/28/2009
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