Provider Demographics
NPI:1528396280
Name:REYES, ALISON BETH (MS, RD, CLT)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:BETH
Last Name:REYES
Suffix:
Gender:F
Credentials:MS, RD, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 READING RD
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-2029
Mailing Address - Country:US
Mailing Address - Phone:908-208-6757
Mailing Address - Fax:908-237-1754
Practice Address - Street 1:9 READING RD
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-2029
Practice Address - Country:US
Practice Address - Phone:908-208-6757
Practice Address - Fax:908-237-1754
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-18
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ800508133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered