Provider / Organization | NPI | Date Certified |
---|---|---|
JACLYN SUSAN GIORDANO | 1447896287 | 2024-11-09 |
Jaclyn Susan Giordano is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1447896287. Registration indicates Jaclyn Susan Giordano is a provider of services with a specialization in Dietary & Nutritional Service Providers, Dietitian, Registered (Dietitian, Registered, ) (All Other Specialties & Provider Types, ) (Dietitian, Registered, Dietary & Nutritional Service Providers)
Entity Type | Individual |
Provider Name | Miss Jaclyn Susan Giordano RD |
Practice Office Address | 101 EISENHOWER PKWY STE 300 ROSELAND, NJ US |
Practice Office Telephone | 9735085694 |
Mailing Address | 435 VAN HOUTEN AVE APT 104 PASSAIC, NJ 070552000 US |
Business Telephone | 8623773875 |
Code | Practice | License No State |
---|---|---|
133V00000X PRIMARY | Dietary & Nutritional Service Providers Dietitian, Registered Dietitian, Registered All Other Specialties & Provider Types Dietitian, Registered Dietary & Nutritional Service Providers | 86082268
NJ |