| NPI | 1366949646 |
|---|---|
| Doing Business As | ST MARY DIABETES MANAGEMENT CENTER |
| Doing Business As | DIABETES MANAGEMENT CENTER |
| Doing Business As | ST. MARY DIABETES MANAGEMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | DANIELLE C CLARKE Regional VP 215-710-6542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2023-12-13 |