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1225024649
SUSAN C CANONICO
BERKELEY HEIGHTS, NJ
NPI
1225024649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NJ 865045)
Enumeration Date
2005-09-21
Last Update Date
2008-03-27
Business Address
-- SUSAN C CANONICO RD
1 DIAMOND HILL RD SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922-2104
Phone number: 908-273-4300
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Mailing Address
-- SUSAN C CANONICO RD
1 DIAMOND HILL RD SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922-2104
Phone number: 908-273-4300
Copy
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