Provider Demographics
NPI:1407094899
Name:SCHALDONE, NICOLE JEAN (MS, RD, CSO)
Entity Type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:JEAN
Last Name:SCHALDONE
Suffix:
Gender:F
Credentials:MS, RD, CSO
Other - Prefix:MRS
Other - First Name:NICOLE
Other - Middle Name:JEAN
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, RD, CSO
Mailing Address - Street 1:1100 WESCOTT DR STE 201
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-4600
Mailing Address - Country:US
Mailing Address - Phone:908-788-4022
Mailing Address - Fax:
Practice Address - Street 1:1100 WESCOTT DR STE 201
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4600
Practice Address - Country:US
Practice Address - Phone:908-788-4022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-23
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ00927860133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered