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Contact Information

LORI A MAGOULAS, PH.D., R.D.
39 AVENUE AT THE COMMON
SUITE 106
SHREWSBURY, NJ07702
 Phone: 732-544-1661
 Fax: 732-544-9022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for LORI A MAGOULAS · (Female)

NPI Number 1467679076
Status Active
Credentials PH.D., R.D.
Entity Individual
Enumeration date 04/18/2007
Last updated 01/12/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 705971
  • NJ Other 942955 AETNA PROVIDER ID
  • NJ Other P2970225 PROVIDER ID NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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