Provider Demographics
NPI:1972192847
Name:ATTARDO, MARIA DOLORES (RDN)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:DOLORES
Last Name:ATTARDO
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CUMMINGS RD
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08852-2914
Mailing Address - Country:US
Mailing Address - Phone:732-673-1495
Mailing Address - Fax:
Practice Address - Street 1:20 CUMMINGS RD
Practice Address - Street 2:
Practice Address - City:MONMOUTH JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08852-2914
Practice Address - Country:US
Practice Address - Phone:732-673-1495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered