| NPI | 1487842969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRET MATHEW HAUPTMAN Co Owner 215-564-4880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN002543) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |