Provider Demographics
NPI:1316267545
Name:JANISCH, ALLISON E (RD)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:E
Last Name:JANISCH
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 1:25 LENHOME DR
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-2956
Mailing Address - Country:US
Mailing Address - Phone:607-351-9044
Mailing Address - Fax:
Practice Address - Street 1:25 LENHOME DR
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-2956
Practice Address - Country:US
Practice Address - Phone:607-351-9044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-10
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEDN0000405133VN1004X, 133V00000X
133V00000X
DEDN-0000405133V00000X
PADN003912133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric