Provider Demographics
NPI:1588489256
Name:COOPER, ALLISON JANE (MS, RDN)
Entity type:Individual
Prefix:MISS
First Name:ALLISON
Middle Name:JANE
Last Name:COOPER
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2413 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT BORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-3624
Mailing Address - Country:US
Mailing Address - Phone:732-948-7474
Mailing Address - Fax:
Practice Address - Street 1:2413 CEDAR ST
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT BORO
Practice Address - State:NJ
Practice Address - Zip Code:08742-3624
Practice Address - Country:US
Practice Address - Phone:732-948-7474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered