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NPI Code Detail

MEDICARE: JOANNA ROSE WARGO MS, RDN

MEDICARE: JOANNA ROSE WARGO MS, RDN
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 Dietitian

General Provider Information

NPI Number : 1609589993
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA ROSE WARGO MS, RDN
Provider Business Mailing Address
First Line : 8B WAVECREST AVE
Second Line :
City : WINFIELD PARK
State : NJ
Zip : 07036-6648
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 230 POTTERSVILLE RD
Second Line :
City : CHESTER
State : NJ
Zip : 07930-2432
Country : US
Telephone Number : 732-850-2419
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2023
Last Update Date : 01/02/2023

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