Provider Demographics
NPI:1770220626
Name:KAMINSKI, EDWARD (RDN)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:
Last Name:KAMINSKI
Suffix:
Gender:M
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-341-8250
Mailing Address - Fax:856-341-8251
Practice Address - Street 1:239 HURFFVILLE CROSSKEYS RD STE 470D
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-4009
Practice Address - Country:US
Practice Address - Phone:856-341-8250
Practice Address - Fax:856-341-8251
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-12
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered