Provider Demographics
NPI:1295923514
Name:FELDMAN, TAMAR S (RD)
Entity type:Individual
Prefix:MRS
First Name:TAMAR
Middle Name:S
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MISS
Other - First Name:TAMAR
Other - Middle Name:S
Other - Last Name:LAMPERT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD
Mailing Address - Street 1:231 8TH ST APT 16B
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-2832
Mailing Address - Country:US
Mailing Address - Phone:732-364-0064
Mailing Address - Fax:206-350-8119
Practice Address - Street 1:1166 RIVER AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5600
Practice Address - Country:US
Practice Address - Phone:732-364-0064
Practice Address - Fax:206-350-8119
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL00962812133V00000X
FLND4967133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered