Provider Demographics
NPI:1982383329
Name:STUMP, MELISSA (RDN)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:STUMP
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 FARLEY AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-1634
Mailing Address - Country:US
Mailing Address - Phone:908-752-1896
Mailing Address - Fax:
Practice Address - Street 1:55 WILLOW LN STE 201
Practice Address - Street 2:
Practice Address - City:ENGLISHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8434
Practice Address - Country:US
Practice Address - Phone:732-370-2220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered