Provider Demographics
NPI:1770352122
Name:CULANG, EVELYN (RD)
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:
Last Name:CULANG
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:CHAVA
Other - Middle Name:
Other - Last Name:STEINHARTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:236 11TH ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-1822
Mailing Address - Country:US
Mailing Address - Phone:848-226-4397
Mailing Address - Fax:
Practice Address - Street 1:236 A 11TH STREET
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701
Practice Address - Country:US
Practice Address - Phone:848-226-4397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ86299173133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered