Provider Demographics
NPI:1497135941
Name:SPECTOR, JUDI (RD)
Entity Type:Individual
Prefix:
First Name:JUDI
Middle Name:
Last Name:SPECTOR
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:ANN
Other - Last Name:SPECTOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:133 THACKERAY DR
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-2635
Mailing Address - Country:US
Mailing Address - Phone:908-803-1999
Mailing Address - Fax:
Practice Address - Street 1:133 THACKERAY DR
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-2635
Practice Address - Country:US
Practice Address - Phone:908-803-1999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-30
Last Update Date:2015-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered