Provider Demographics
NPI:1578263778
Name:HALEPOVIC, MAJA (RD)
Entity Type:Individual
Prefix:MS
First Name:MAJA
Middle Name:
Last Name:HALEPOVIC
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 1:6 BURNHAM ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-4750
Mailing Address - Country:US
Mailing Address - Phone:908-801-6227
Mailing Address - Fax:
Practice Address - Street 1:6 BURNHAM ST
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-4750
Practice Address - Country:US
Practice Address - Phone:908-801-6227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ86030911133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered