Mrs Candice Lyn Wasolaskus, RD | |
1103 West Sherman Avenue, Building 2 Unit C, Vineland, NJ 08360 | |
(856) 362-5259 | |
(856) 407-6978 |
Full Name | Mrs Candice Lyn Wasolaskus |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1103 West Sherman Avenue, Vineland, 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 |
---|---|---|---|
1144656604 | NPI | - | NPPES |
60166181 | Other | NJ | HORIZON NJ HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1036618 (New Jersey) | Primary |
Provider Name | Esa South Jersey Bariatrics, P.a. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235448564 PECOS PAC ID: 1759560600 Enrollment ID: O20110124001068 |
Mailing Address | Practice Location Address |
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Mrs Candice Lyn Wasolaskus, RD 1103 West Sherman Avenue, Building 2 Unit C, Vineland, NJ 08360 Ph: (856) 362-5259 | Mrs Candice Lyn Wasolaskus, RD 1103 West Sherman Avenue, Building 2 Unit C, Vineland, NJ 08360 Ph: (856) 362-5259 |
Amy Sanchez, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 856-641-7797 Fax: 856-641-7614 | |
Carmen Garcia, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 856-641-7797 Fax: 856-641-7614 | |
Sam Harris, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 856-641-7796 Fax: 856-641-7614 | |
Lisa Bybel, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 856-641-7797 Fax: 856-641-7614 | |
Trudi Maisano, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 856-641-7797 Fax: 856-641-7614 | |
Ayla Gentiletti, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3345 Hawthorn Ct, Vineland, NJ 08361 Phone: 856-305-8686 |