Provider Demographics
NPI:1497171011
Name:CLINTON, CAROL TORCHIA (MS)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:TORCHIA
Last Name:CLINTON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:CAROL
Other - Middle Name:
Other - Last Name:CLINTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:231 ROUTE 28
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-1918
Mailing Address - Country:US
Mailing Address - Phone:908-672-8209
Mailing Address - Fax:908-506-0295
Practice Address - Street 1:231 ROUTE 28
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-1918
Practice Address - Country:US
Practice Address - Phone:908-672-8209
Practice Address - Fax:908-506-0295
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-06
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education