Provider Demographics
NPI:1831381995
Name:SAKOWITZ, MARIA (MS, RD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:SAKOWITZ
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 FERN RD
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-3221
Mailing Address - Country:US
Mailing Address - Phone:732-254-0113
Mailing Address - Fax:
Practice Address - Street 1:123 DUNHAMS CORNER RD
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-3532
Practice Address - Country:US
Practice Address - Phone:732-254-0113
Practice Address - Fax:732-254-2277
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ113619Medicare PIN