Provider Demographics
NPI:1528678760
Name:OZUT, RACHEL M (MS, RD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:M
Last Name:OZUT
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 STATESIR PL
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-6144
Mailing Address - Country:US
Mailing Address - Phone:732-673-9168
Mailing Address - Fax:
Practice Address - Street 1:136 STATESIR PL
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-6144
Practice Address - Country:US
Practice Address - Phone:732-673-9168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered