Provider Demographics
NPI:1184101701
Name:CSUKARDI, DEENA (RDN)
Entity type:Individual
Prefix:MRS
First Name:DEENA
Middle Name:
Last Name:CSUKARDI
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 1:451 COOLIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:WHITING
Mailing Address - State:NJ
Mailing Address - Zip Code:08759-2413
Mailing Address - Country:US
Mailing Address - Phone:908-770-4539
Mailing Address - Fax:
Practice Address - Street 1:451 COOLIDGE AVE
Practice Address - Street 2:
Practice Address - City:WHITING
Practice Address - State:NJ
Practice Address - Zip Code:08759-2413
Practice Address - Country:US
Practice Address - Phone:908-770-4539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered