Individual
SHARON R. WIEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
100 E MAIN ST, BOGOTA, NJ 07603-1310
(201) 314-8545
Mailing address
PO BOX 3382, TEANECK, NJ 07666
(201) 314-8545
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
02/20/2018
Last updated
10/15/2018
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