Provider Demographics
NPI:1487946547
Name:PIELOCH, DANIEL P (RD)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:P
Last Name:PIELOCH
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PLUM ST
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-1924
Mailing Address - Country:US
Mailing Address - Phone:732-253-3340
Mailing Address - Fax:732-253-3476
Practice Address - Street 1:10 PLUM ST
Practice Address - Street 2:7TH FLOOR
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1924
Practice Address - Country:US
Practice Address - Phone:732-253-3340
Practice Address - Fax:732-253-3476
Is Sole Proprietor?:No
Enumeration Date:2011-05-09
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ952155133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered