Provider Demographics
NPI:1992151922
Name:BOI, CHRISTINE RAUSCHER (RDN)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:RAUSCHER
Last Name:BOI
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:666 GODWIN AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MIDLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07432-1449
Mailing Address - Country:US
Mailing Address - Phone:201-444-8110
Mailing Address - Fax:201-444-8177
Practice Address - Street 1:666 GODWIN AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MIDLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07432-1449
Practice Address - Country:US
Practice Address - Phone:201-444-8110
Practice Address - Fax:201-444-8177
Is Sole Proprietor?:No
Enumeration Date:2016-05-09
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ987883133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered