Provider Demographics
NPI:1972862217
Name:SALER, GEORGIA BEA (RD)
Entity Type:Individual
Prefix:
First Name:GEORGIA
Middle Name:BEA
Last Name:SALER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901A DARMSTADT AVE
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08215-4251
Mailing Address - Country:US
Mailing Address - Phone:609-602-3618
Mailing Address - Fax:
Practice Address - Street 1:2000 SHORE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-2100
Practice Address - Country:US
Practice Address - Phone:609-904-5627
Practice Address - Fax:609-939-2750
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-07
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJRD934375133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered