Provider Demographics
NPI:1407325996
Name:KRITZER, DONNA R (RDN)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:R
Last Name:KRITZER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 VREELAND RD STE 104
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1510
Mailing Address - Country:US
Mailing Address - Phone:973-333-6095
Mailing Address - Fax:973-553-6540
Practice Address - Street 1:23 VREELAND RD STE 104
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1510
Practice Address - Country:US
Practice Address - Phone:973-333-6095
Practice Address - Fax:973-553-6540
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-14
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ931661133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered