Basic Information
| Provider Information | |||||||||
| NPI: | 1033343538 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MEISSNER | ||||||||
| FirstName: | CHRISTINE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MS RD CNSD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 83 CRENSHAW DR | ||||||||
| Address2: | |||||||||
| City: | FLANDERS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 078364721 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9088525100 | ||||||||
| FaxNumber: | 9088506861 | ||||||||
| Practice Location | |||||||||
| Address1: | 651 WILLOW GROVE ST | ||||||||
| Address2: | |||||||||
| City: | HACKETTSTOWN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 078401799 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9088525100 | ||||||||
| FaxNumber: | 9088506861 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/12/2009 | ||||||||
| LastUpdateDate: | 05/12/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | NJ | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.