Maryam Nikantabar

Individual provider Obesity and Weight Management Nutrition Registered Dietitian · NPI 1508405994

Maryam Nikantabar is an Obesity and Weight Management Nutrition Registered Dietitian in Haddonfield, New Jersey. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in: PA
In the registry since: 2020

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Practice location Address checks out

801 Graisbury Ave
Haddonfield, NJ 08033-3021
Phone: (570) 985-0955

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Specialties & licences

Obesity and Weight Management Nutrition Registered Dietitian (primary)	Taxonomy 133VN1201X · Licence DN006783 (PA)

Record details

NPI number	1508405994
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	January 2, 2020
Last updated in NPPES	May 20, 2026
Certification date	May 20, 2026
Mailing address	435 Beech Ave, Hershey, PA 17033-1610