Provider Demographics
NPI:1134630049
Name:PARLATO, SUSAN M (RD)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:M
Last Name:PARLATO
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 1:83 HANOVER RD
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1508
Mailing Address - Country:US
Mailing Address - Phone:973-410-9700
Mailing Address - Fax:973-410-9703
Practice Address - Street 1:83 HANOVER RD
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1508
Practice Address - Country:US
Practice Address - Phone:973-410-9700
Practice Address - Fax:973-410-9703
Is Sole Proprietor?:No
Enumeration Date:2017-10-18
Last Update Date:2017-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered