Healthcare Provider Details

I. General information

NPI: 1194883157
Provider Name (Legal Business Name): GALE COHEN RD, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 PIN OAK DR
LAWRENCEVILLE NJ
08648-3133
US

IV. Provider business mailing address

31 PIN OAK DR
LAWRENCEVILLE NJ
08648-3133
US

V. Phone/Fax

Practice location:
  • Phone: 609-883-7332
  • Fax:
Mailing address:
  • Phone: 609-883-7332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number647054
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: