Matthew Luongo, RDN, CSSD, CDN
Dietitian, Registered, Nutrition, Sports Dietetics in Hoboken, NJ. Individual provider (NPI-1).
NPI number1407469331
StatusActive
Last updated in NPPESAug 29, 2020
Details
- NPI
- 1407469331
- Entity type
- Individual (NPI-1)
- Name
- Matthew Luongo
- Credential
- RDN, CSSD, CDN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2020
- Certification date
- Aug 29, 2020
- Last updated
- Aug 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133VN1501X | Dietitian, Registered, Nutrition, Sports Dietetics | – | – | Yes |
| 133NN1002X | Nutritionist, Nutrition, Education | – | – | |
| 133V00000X | Dietitian, Registered | – | – |
Practice location
901 Madison St Apt 3bHoboken, NJ 07030-6434
Phone 732-865-3640
Mailing address
901 Madison St Apt 3bHoboken, NJ 07030-6434
Phone 732-865-3640
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