Provider Demographics
NPI:1720727399
Name:DAN, MEGAN Y (RD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:Y
Last Name:DAN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:33-41 NEWARK ST FL 5
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5627
Mailing Address - Country:US
Mailing Address - Phone:917-647-1665
Mailing Address - Fax:201-473-5812
Practice Address - Street 1:33-41 NEWARK ST FL 5
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5627
Practice Address - Country:US
Practice Address - Phone:917-647-1665
Practice Address - Fax:201-473-5812
Is Sole Proprietor?:No
Enumeration Date:2022-06-01
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
86033597133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered