Provider Demographics
NPI:1558672964
Name:SEAVEY, ANNA MARIE (RD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:SEAVEY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:MARIE
Other - Last Name:MASTROPAOLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:83 HANOVER ROAD, SUITE 190
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932
Mailing Address - Country:US
Mailing Address - Phone:973-410-9700
Mailing Address - Fax:973-410-9703
Practice Address - Street 1:83 HANOVER ROAD, SUITE 190
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932
Practice Address - Country:US
Practice Address - Phone:973-410-9700
Practice Address - Fax:973-410-9700
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ806125133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered