Provider Demographics
NPI:1073651675
Name:SKINNER, BARBARA J (RD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:SKINNER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
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Mailing Address - Street 1:218 SUNSET RD # C
Mailing Address - Street 2:
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-1110
Mailing Address - Country:US
Mailing Address - Phone:609-877-0400
Mailing Address - Fax:609-877-3542
Practice Address - Street 1:218 SUNSET RD # C
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-1110
Practice Address - Country:US
Practice Address - Phone:609-877-0400
Practice Address - Fax:609-877-3542
Is Sole Proprietor?:No
Enumeration Date:2007-02-03
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
6546649OtherCIGNA
2754671OtherUNITED HEALTHCARE
NJ1115683OtherAETNA
NJ695457OtherDIETETIC REGISTRATION
P3737101OtherOXFORD
2754671OtherUNITED HEALTHCARE