Provider Demographics
NPI:1962527424
Name:RABKIN, MARINA (RD)
Entity type:Individual
Prefix:MRS
First Name:MARINA
Middle Name:
Last Name:RABKIN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:MARINA
Other - Middle Name:
Other - Last Name:RABKIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RD
Mailing Address - Street 1:82 STATION RD
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-2047
Mailing Address - Country:US
Mailing Address - Phone:732-772-0744
Mailing Address - Fax:
Practice Address - Street 1:123 DUNHAMS CORNER RD
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-3532
Practice Address - Country:US
Practice Address - Phone:732-254-0113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ894119133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered