Most Relevant Information
Provider Data
| NPI Number: | 1003366204 |
| Provider Name: | HEATHER CAMPANILE MS, RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133N00000X |
| Specialty: | Nutritionist |
| License Number: | 927446 |
Most Important Dates
| Enumeration Date: | 10/12/2016 |
| Last Updated: | 07/31/2023 |
Provider Practice Location
47 POWELL RD
ALLENDALE
NJ
074012010
Practice Location Phone/Fax
| Phone: | 2018198545 |
| Fax: |
Provider Mailing Location
47 POWELL RD
ALLENDALE
NJ
074012010
Provider Mailing Phone/Fax
| Phone: | 2018198545 |
| Fax: |