Provider Demographics
NPI:1447753041
Name:DOGAS, ROSEANN (RDN)
Entity Type:Individual
Prefix:MRS
First Name:ROSEANN
Middle Name:
Last Name:DOGAS
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:MISS
Other - First Name:ROSE ANN
Other - Middle Name:
Other - Last Name:SILVESTRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN
Mailing Address - Street 1:113 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:LINCROFT
Mailing Address - State:NJ
Mailing Address - Zip Code:07738-1611
Mailing Address - Country:US
Mailing Address - Phone:917-699-6549
Mailing Address - Fax:732-530-3155
Practice Address - Street 1:113 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:LINCROFT
Practice Address - State:NJ
Practice Address - Zip Code:07738-1611
Practice Address - Country:US
Practice Address - Phone:917-699-6549
Practice Address - Fax:732-530-3155
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-10
Last Update Date:2018-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ858886133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered