Provider Demographics
NPI:1689979577
Name:BYRNES, CHRISTINA MICHELLE (MS, RD)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:MICHELLE
Last Name:BYRNES
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 ELMARA DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-5669
Mailing Address - Country:US
Mailing Address - Phone:908-268-3835
Mailing Address - Fax:908-231-7982
Practice Address - Street 1:193 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1211
Practice Address - Country:US
Practice Address - Phone:908-481-1270
Practice Address - Fax:908-688-8861
Is Sole Proprietor?:No
Enumeration Date:2011-01-24
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ952558133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered