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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHARON R. WIEDER, RD

Active Sole Proprietor

Pediatric Nutrition · BOGOTA, NJ

Registration Details

NPI Number
1992205447
Provider Type
Individual
Gender
Female
NPI Issued
Feb 20, 2018 (8.1672324060273 yrs)
Last Updated
Oct 15, 2018
Sole Proprietor
Yes

Practice Information

Address
100 E MAIN ST
BOGOTA, NJ, 076031310
Browse NJ providers · Browse ZIP 07603
Phone
2013148545
Primary Specialty
Pediatric Nutrition
133VN1004X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.