Provider Demographics
NPI:1194926535
Name:TOMESKO, JENNIFER A (MS RD CNSD)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:A
Last Name:TOMESKO
Suffix:
Gender:F
Credentials:MS RD CNSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 JOHN GLENN RD
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-5612
Mailing Address - Country:US
Mailing Address - Phone:973-444-2019
Mailing Address - Fax:973-877-2623
Practice Address - Street 1:8 JOHN GLENN RD
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-5612
Practice Address - Country:US
Practice Address - Phone:973-444-2019
Practice Address - Fax:973-877-2623
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ837649133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered