Basic Information
| Provider Information | |||||||||
| NPI: | 1215950571 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STRAHS | ||||||||
| FirstName: | SUSAN | ||||||||
| MiddleName: | K | ||||||||
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| Credential: | RD,CDE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 39 BULLION RD | ||||||||
| Address2: | |||||||||
| City: | BASKING RIDGE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 079202420 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9087663537 | ||||||||
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| Practice Location | |||||||||
| Address1: | 151 KNOLLCROFT RD | ||||||||
| Address2: | |||||||||
| City: | LYONS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 079395000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9086470180 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/26/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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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 | 133NN1002X | 09520493 | NJ | X | Dietary & Nutritional Service Providers | Nutritionist | Nutrition, Education | 133V00000X | 303148 | NJ | X | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.