Provider Demographics
NPI:1356673172
Name:GARTENHAUS, BEATRICE (MS, RD)
Entity Type:Individual
Prefix:
First Name:BEATRICE
Middle Name:
Last Name:GARTENHAUS
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:958 PARK AVE
Mailing Address - Street 2:UNIT B
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-2051
Mailing Address - Country:US
Mailing Address - Phone:732-901-6949
Mailing Address - Fax:
Practice Address - Street 1:958 PARK AVE
Practice Address - Street 2:UNIT B
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-2051
Practice Address - Country:US
Practice Address - Phone:732-901-6949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1022940133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered