Provider Demographics
NPI:1962779397
Name:GARBOWSKA-ZAKRZEWSKI, ANNA (RD, CDE)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:
Last Name:GARBOWSKA-ZAKRZEWSKI
Suffix:
Gender:F
Credentials:RD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 ARROWHEAD RD
Mailing Address - Street 2:
Mailing Address - City:MAHWAH
Mailing Address - State:NJ
Mailing Address - Zip Code:07430-1352
Mailing Address - Country:US
Mailing Address - Phone:201-414-6338
Mailing Address - Fax:201-684-0301
Practice Address - Street 1:16 ARROWHEAD RD
Practice Address - Street 2:
Practice Address - City:MAHWAH
Practice Address - State:NJ
Practice Address - Zip Code:07430-1352
Practice Address - Country:US
Practice Address - Phone:201-414-6338
Practice Address - Fax:201-684-0301
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic