Heather Shasa MS, RD

NPI 1366788903 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1366788903
Gender Female
Enumeration Date 01/01/2013
Last Updated 03/01/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
1500 PLEASANT VALLEY WAY STE 101
WEST ORANGE NJ, 07052-2956, US
Phone (973) 669-5600
Fax (973) 669-0269
Business Location
15 ORCHARD ST
ROCKAWAY NJ, 07866-4005, US
Phone (973) 919-2077
Fax
Toxanomy
Taxonomy Code 133V00000X
License State
License Number
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According to our database, Heather Shasa MS, RD NPI is 1366788903, taxonomy code is 133V00000X Heather Shasa MS, RD physically located at 1500 Pleasant Valley Way Ste 101, West Orange NJ, 07052-2956. NPI Number Heather Shasa MS, RD has the Individual type.

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1366788903 NPI number is provided on an as is basis without warranty of any kind. 1366788903 is maintained by the National Plan & Provider Enumeration System. The contents of Heather Shasa MS, RD are for informational purposes only.