Healthcare Provider Details

I. General information

NPI: 1790844686
Provider Name (Legal Business Name): LAURA ROBBINS R.D., C.D.E.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 ROUTE 37 W SUITE 210
TOMS RIVER NJ
08755-5038
US

IV. Provider business mailing address

PO BOX 1178
ISLAND HEIGHTS NJ
08732-1178
US

V. Phone/Fax

Practice location:
  • Phone: 732-244-0052
  • Fax: 732-506-6896
Mailing address:
  • Phone: 732-506-7958
  • Fax: 732-506-6896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: