=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831381995
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARIA SAKOWITZ MS, RD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/13/2007
-----------------------------------------------------
Last Update Date | 10/12/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 123 DUNHAMS CORNER RD
-----------------------------------------------------
City | EAST BRUNSWICK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08816-3532
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-254-0113
-----------------------------------------------------
Fax | 732-254-2277
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 173 FERN RD
-----------------------------------------------------
City | EAST BRUNSWICK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08816-3221
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-254-0113
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 133V00000X
-----------------------------------------------------
Taxonomy Name | Registered Dietitian
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------