Healthcare Provider Details

I. General information

NPI: 1740590470
Provider Name (Legal Business Name): CATHERINE PIUGGI R.D., C.D.E.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2010
Last Update Date: 10/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 FRENCH ST
NEW BRUNSWICK NJ
08901-1935
US

IV. Provider business mailing address

89 FRENCH ST
NEW BRUNSWICK NJ
08901-1935
US

V. Phone/Fax

Practice location:
  • Phone: 732-235-9378
  • Fax: 732-235-5002
Mailing address:
  • Phone: 732-235-9738
  • Fax: 732-235-5002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License NumberR597072
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: