| Elizabeth Hanna, MS, RDN, CDCES | |
|
246 W Madison Ave, Dumont, NJ 07628-3318 | |
| (201) 704-3877 | |
| Not Available |
| Full Name | Elizabeth Hanna |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 246 W Madison Ave, Dumont, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023362621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 940978 (New Jersey) | Primary |
| Provider Name | St Josephs Medical Group Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205425519 PECOS PAC ID: 8628470325 Enrollment ID: O20210716000520 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Hanna, MS, RDN, CDCES 246 W Madison Ave, Dumont, NJ 07628-3318 Ph: () - | Elizabeth Hanna, MS, RDN, CDCES 246 W Madison Ave, Dumont, NJ 07628-3318 Ph: (201) 704-3877 |
Leigh Slagle-leeds, RD, CSO Dietitian Medicare: Not Enrolled in Medicare Practice Location: 150 W Quackenbush Ave, Dumont, NJ 07628 Phone: 551-486-6341 | |
Sean Donellan, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 75 Lenox Ave, Dumont, NJ 07628 Phone: 551-486-3042 | |
Nutrition Driven, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 246 W Madison Ave, Dumont, NJ 07628 Phone: 201-704-3877 |