Provider Demographics
NPI:1669005914
Name:ROSE ANN DOGAS LLC
Entity Type:Organization
Organization Name:ROSE ANN DOGAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:ROSEANN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOGAS
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:917-699-6549
Mailing Address - Street 1:55 HIGHWAY
Mailing Address - Street 2:SUITE 5
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701
Mailing Address - Country:US
Mailing Address - Phone:609-619-0647
Mailing Address - Fax:732-530-3155
Practice Address - Street 1:55 HIGHWAY 35 STE 5
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5918
Practice Address - Country:US
Practice Address - Phone:609-619-0647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-14
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty