Provider Demographics
NPI:1407248479
Name:GOLDSTEIN, KARLA (MS,RDN, LDN)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:GOLDSTEIN
Suffix:
Gender:F
Credentials:MS,RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 PERRY DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-3232
Mailing Address - Country:US
Mailing Address - Phone:609-634-0681
Mailing Address - Fax:
Practice Address - Street 1:518 PERRY DR
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-3232
Practice Address - Country:US
Practice Address - Phone:609-634-0681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-26
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered