Provider Demographics
NPI:1447812698
Name:MCDADE, ANNMARIE (MS, RDN, CDE)
Entity type:Individual
Prefix:MRS
First Name:ANNMARIE
Middle Name:
Last Name:MCDADE
Suffix:
Gender:F
Credentials:MS, RDN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 WINFIELD DR
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8706
Mailing Address - Country:US
Mailing Address - Phone:732-539-6824
Mailing Address - Fax:
Practice Address - Street 1:2 HOSPITAL PLZ STE 420
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-3154
Practice Address - Country:US
Practice Address - Phone:732-360-4070
Practice Address - Fax:732-360-4071
Is Sole Proprietor?:No
Enumeration Date:2019-07-08
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ21510585133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered