Provider Demographics
NPI:1649842329
Name:CZIROK, MEGAN E (RD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:E
Last Name:CZIROK
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 1:9 JOCELYN CT
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08827-3000
Mailing Address - Country:US
Mailing Address - Phone:908-246-5514
Mailing Address - Fax:
Practice Address - Street 1:9 JOCELYN CT
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08827-3000
Practice Address - Country:US
Practice Address - Phone:908-246-5514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86115672133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered