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100 Bauer Dr, Oakland, NJ 07436-3105 | |
(201) 651-1010 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Dietitian, Registered |
Location | 100 Bauer Dr, Oakland, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1609098821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 912625 (New Jersey) | Primary |
Provider Name | Karen E Goldberg |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1316024003 PECOS PAC ID: 0042374712 Enrollment ID: I20090123000383 |
Mailing Address | Practice Location Address |
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2 Baker St, Wayne, NJ 07470-4601 Ph: (973) 628-8118 | 100 Bauer Dr, Oakland, NJ 07436-3105 Ph: (201) 651-1010 |
Anita Gardner, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 50 Chuckanutt Dr, Oakland, NJ 07436 Phone: 201-410-1502 |