Provider Demographics
NPI:1841702529
Name:STOLER, FELICIA DAWN (DCN, MS, RDN)
Entity type:Individual
Prefix:DR
First Name:FELICIA
Middle Name:DAWN
Last Name:STOLER
Suffix:
Gender:F
Credentials:DCN, MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1316
Mailing Address - Country:US
Mailing Address - Phone:732-946-4436
Mailing Address - Fax:732-865-7743
Practice Address - Street 1:31 LEROY PLACE
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701
Practice Address - Country:US
Practice Address - Phone:732-946-4436
Practice Address - Fax:732-865-7743
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-02
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ883859133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty