Provider Demographics
NPI:1356097752
Name:MARANZANO, ISABELLA THERESE (RD)
Entity Type:Individual
Prefix:
First Name:ISABELLA
Middle Name:THERESE
Last Name:MARANZANO
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:162 PINETREE CT
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-3048
Mailing Address - Country:US
Mailing Address - Phone:732-966-2460
Mailing Address - Fax:
Practice Address - Street 1:162 PINETREE CT
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-3048
Practice Address - Country:US
Practice Address - Phone:732-966-2460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-23
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered