Provider Demographics
NPI:1336717859
Name:TOMIOKA, MICHIKO (MBA, RDN, IFNCP)
Entity Type:Individual
Prefix:MS
First Name:MICHIKO
Middle Name:
Last Name:TOMIOKA
Suffix:
Gender:F
Credentials:MBA, RDN, IFNCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 EVERETT RD
Mailing Address - Street 2:
Mailing Address - City:DEMAREST
Mailing Address - State:NJ
Mailing Address - Zip Code:07627-1228
Mailing Address - Country:US
Mailing Address - Phone:201-220-0041
Mailing Address - Fax:
Practice Address - Street 1:71 EVERETT RD
Practice Address - Street 2:
Practice Address - City:DEMAREST
Practice Address - State:NJ
Practice Address - Zip Code:07627-1228
Practice Address - Country:US
Practice Address - Phone:551-216-4761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-11
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered