Provider Demographics
NPI:1780237222
Name:WEISMAN, JAMIE (MS, CNS)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:WEISMAN
Suffix:
Gender:F
Credentials:MS, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 ASTER CT
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE STATION
Mailing Address - State:NJ
Mailing Address - Zip Code:08889-2032
Mailing Address - Country:US
Mailing Address - Phone:908-866-1977
Mailing Address - Fax:
Practice Address - Street 1:158 ASTER CT
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE STATION
Practice Address - State:NJ
Practice Address - Zip Code:08889-2032
Practice Address - Country:US
Practice Address - Phone:908-866-1977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-23
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist