Provider Demographics
NPI:1447017165
Name:BARNA, SUSANNE (RDN)
Entity type:Individual
Prefix:MS
First Name:SUSANNE
Middle Name:
Last Name:BARNA
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 GALLAGHER AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-2607
Mailing Address - Country:US
Mailing Address - Phone:908-578-6672
Mailing Address - Fax:
Practice Address - Street 1:2111 GALLAGHER AVE
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-2607
Practice Address - Country:US
Practice Address - Phone:908-578-6672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ894109133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered