Provider Demographics
NPI:1831755222
Name:PAULHAMUS-GIORDANO, DONNA RAE (MS, RDN)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:RAE
Last Name:PAULHAMUS-GIORDANO
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:MS
Other - First Name:DONNA
Other - Middle Name:RAE
Other - Last Name:PAULHAMUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RDN
Mailing Address - Street 1:129 N LAKESIDE DR E
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-8415
Mailing Address - Country:US
Mailing Address - Phone:609-304-1975
Mailing Address - Fax:
Practice Address - Street 1:540 S COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-1302
Practice Address - Country:US
Practice Address - Phone:302-831-3889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-13
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No174H00000XOther Service ProvidersHealth Educator
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEDN-0000754OtherSTATE OF DELAWARE