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NPI Code Detail

MEDICARE: SARAH ADAMCHAK RD

MEDICARE: SARAH ADAMCHAK RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianNJ

General Provider Information

NPI Number : 1013797422
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ADAMCHAK RD
Provider Business Mailing Address
First Line : 39 ROBIN HOOD WAY
Second Line :
City : WAYNE
State : NJ
Zip : 07470-5427
Country : US
Telephone Number : 973-787-7497
Fax Number :
Provider Business Practice Location Address
First Line : 39 ROBIN HOOD WAY
Second Line :
City : WAYNE
State : NJ
Zip : 07470-5427
Country : US
Telephone Number : 973-787-7497
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2023
Last Update Date : 10/03/2023

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