| NPI | 1679718191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH SIEDLECKI Billing Supervisor 215-677-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist Nutrition, Education (Licence: PA DN002660) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education (Licence: PA DN003739) |
| 133NN1002X Nutritionist Nutrition, Education (Licence: PA DN003889) | |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2008-12-12 |