Provider Demographics
NPI:1093546277
Name:GRANDE, JULIA C (RD)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:C
Last Name:GRANDE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 PARKER RD
Mailing Address - Street 2:
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-1421
Mailing Address - Country:US
Mailing Address - Phone:609-955-4341
Mailing Address - Fax:
Practice Address - Street 1:101 EISENHOWER PKWY
Practice Address - Street 2:
Practice Address - City:ROSELAND
Practice Address - State:NJ
Practice Address - Zip Code:07068-1032
Practice Address - Country:US
Practice Address - Phone:973-896-3609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ86326549133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered