Provider Demographics
NPI:1295553253
Name:CAREY, DEBORAH A (RD)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:A
Last Name:CAREY
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 1:34 JACOBS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08628-1704
Mailing Address - Country:US
Mailing Address - Phone:732-689-5834
Mailing Address - Fax:
Practice Address - Street 1:34 JACOBS CREEK RD
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08628-1704
Practice Address - Country:US
Practice Address - Phone:732-689-5834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ723549133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered