Provider Demographics
NPI:1730319914
Name:ADELSON, CAROL L (RD, MS, AADP)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:L
Last Name:ADELSON
Suffix:
Gender:F
Credentials:RD, MS, AADP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 WINDING WAY
Mailing Address - Street 2:
Mailing Address - City:WOODCLIFF LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07677-7930
Mailing Address - Country:US
Mailing Address - Phone:201-930-1570
Mailing Address - Fax:201-930-9287
Practice Address - Street 1:64 WINDING WAY
Practice Address - Street 2:
Practice Address - City:WOODCLIFF LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07677-7930
Practice Address - Country:US
Practice Address - Phone:201-930-1570
Practice Address - Fax:201-930-9287
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered