Ms Tracy Nicole Gottschalk, REGISTERED DIETITIAN | |
49 Beverly Rd, Montclair, NJ 07043-2401 | |
(908) 230-7648 | |
Not Available |
Full Name | Ms Tracy Nicole Gottschalk |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 49 Beverly Rd, Montclair, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851923189 | NPI | - | NPPES |
86058451 | Other | COMMISSION ON DIETETIC REGISTRATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Ms Tracy Nicole Gottschalk, REGISTERED DIETITIAN 49 Beverly Rd, Montclair, NJ 07043-2401 Ph: (908) 230-7648 | Ms Tracy Nicole Gottschalk, REGISTERED DIETITIAN 49 Beverly Rd, Montclair, NJ 07043-2401 Ph: (908) 230-7648 |
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