Provider Demographics
NPI:1730481839
Name:BESSEN, DEBORAH (MS, RD, CSO)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:BESSEN
Suffix:
Gender:F
Credentials:MS, RD, CSO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-5708
Mailing Address - Country:US
Mailing Address - Phone:201-280-8637
Mailing Address - Fax:
Practice Address - Street 1:412 CEDAR AVE
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-5708
Practice Address - Country:US
Practice Address - Phone:201-280-8637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-22
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered