Provider Demographics
NPI:1417340829
Name:STOKAR, HEIDI MARLENE (RD)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:MARLENE
Last Name:STOKAR
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 1:20 HAMLIN RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-2906
Mailing Address - Country:US
Mailing Address - Phone:732-339-1935
Mailing Address - Fax:
Practice Address - Street 1:20 HAMLIN RD
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-2906
Practice Address - Country:US
Practice Address - Phone:732-339-1935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-09
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered