Provider Demographics
NPI:1548548340
Name:HUGHES, VALERIE A (RD)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:A
Last Name:HUGHES
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:A
Other - Last Name:JOO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-355-0340
Mailing Address - Fax:856-355-0330
Practice Address - Street 1:401 YOUNG AVE STE 305A
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3133
Practice Address - Country:US
Practice Address - Phone:856-291-8660
Practice Address - Fax:856-291-8661
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-27
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ982921133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered