Provider Demographics
NPI:1992832992
Name:BYER-LUBIN, G SANDRA (MS, RD, CDE)
Entity Type:Individual
Prefix:MS
First Name:G SANDRA
Middle Name:
Last Name:BYER-LUBIN
Suffix:
Gender:F
Credentials:MS, RD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 HIGHMONT DRIVE
Mailing Address - Street 2:
Mailing Address - City:WEST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-3235
Mailing Address - Country:US
Mailing Address - Phone:609-275-6237
Mailing Address - Fax:
Practice Address - Street 1:59 ONE MILE RD EXT
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-2505
Practice Address - Country:US
Practice Address - Phone:609-275-6237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJR596554133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2143162OtherAETNA
NJP2095526OtherOXFORD