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NPI Code Detail

MEDICARE: ANN OSTROWSKI MS,RD,LDN,CNSC

MEDICARE: ANN OSTROWSKI MS,RD,LDN,CNSC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianDN003413PA

General Provider Information

NPI Number : 1356750939
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN OSTROWSKI MS,RD,LDN,CNSC
Provider Business Mailing Address
First Line : 1111 E END BLVD
Second Line :
City : WILKES BARRE
State : PA
Zip : 18711-0026
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1111 E END BLVD
Second Line :
City : WILKES BARRE
State : PA
Zip : 18711-0026
Country : US
Telephone Number : 570-824-3521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2014
Last Update Date : 08/07/2014

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