Provider Demographics
NPI:1285903443
Name:SCHWARTZ, JANE (RD)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:SCHWARTZ
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 1:601 EWING ST STE C3
Mailing Address - Street 2:SUITE C3
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-2756
Mailing Address - Country:US
Mailing Address - Phone:609-865-3999
Mailing Address - Fax:609-430-1901
Practice Address - Street 1:601 EWING ST
Practice Address - Street 2:SUITE C3
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-2757
Practice Address - Country:US
Practice Address - Phone:609-865-3999
Practice Address - Fax:609-430-1901
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-17
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ719418133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered