Provider Demographics
NPI:1326850223
Name:MILAK, STACEY JANET (RDN)
Entity type:Individual
Prefix:
First Name:STACEY
Middle Name:JANET
Last Name:MILAK
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 WILLOW CT
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-3132
Mailing Address - Country:US
Mailing Address - Phone:908-531-7316
Mailing Address - Fax:
Practice Address - Street 1:427 WILLOW CT
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-3132
Practice Address - Country:US
Practice Address - Phone:908-531-7316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered