Provider Demographics
NPI:1053692145
Name:CUOMO, RACHEL (RD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:CUOMO
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 BUNN DR
Mailing Address - Street 2:302
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-1968
Mailing Address - Country:US
Mailing Address - Phone:609-851-9866
Mailing Address - Fax:609-921-1438
Practice Address - Street 1:800 BUNN DR
Practice Address - Street 2:302
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-1968
Practice Address - Country:US
Practice Address - Phone:609-851-9866
Practice Address - Fax:609-921-1438
Is Sole Proprietor?:No
Enumeration Date:2011-09-01
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1051016133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered