Provider Demographics
NPI:1194571190
Name:A&B DIETETICS
Entity type:Organization
Organization Name:A&B DIETETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LA OSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-865-3325
Mailing Address - Street 1:225 THE PROMENADE
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:07020-2113
Mailing Address - Country:US
Mailing Address - Phone:201-253-9279
Mailing Address - Fax:
Practice Address - Street 1:225 THE PROMENADE
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:07020-2113
Practice Address - Country:US
Practice Address - Phone:201-253-9279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty