Amanda Julia Fano, MS, RDN | |
74 Horseneck Rd, Montville, NJ 07045-9303 | |
(973) 865-2460 | |
Not Available |
Full Name | Amanda Julia Fano |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 74 Horseneck Rd, Montville, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144848136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (New Jersey) | Primary |
Provider Name | Truroots Nutrition Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881384956 PECOS PAC ID: 3476910506 Enrollment ID: O20230606001238 |
Mailing Address | Practice Location Address |
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Amanda Julia Fano, MS, RDN 74 Horseneck Rd, Montville, NJ 07045-9303 Ph: (973) 865-2460 | Amanda Julia Fano, MS, RDN 74 Horseneck Rd, Montville, NJ 07045-9303 Ph: (973) 865-2460 |
Alyssa D'amico, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2 Changebridge Rd, Montville, NJ 07045 Phone: 201-669-6874 | |
Mrs. Jane Katherine O'neill, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 390 Main Road, Montville, NJ 07045 Phone: 973-316-9333 Fax: 973-316-5790 | |
Lindsay Hammond-schumacher, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 170 Changebridge Rd Bldg C3, Montville, NJ 07045 Phone: 973-575-5540 Fax: 973-290-7430 | |
Truroots Nutrition Llc Dietitian Medicare: Medicare Enrolled Practice Location: 74 Horseneck Rd, Montville, NJ 07045 Phone: 973-865-2460 |