Healthcare Provider Details

I. General information

NPI: 1598123580
Provider Name (Legal Business Name): PATRICIA PERLITZ RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2016
Last Update Date: 02/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4719 HAMPDEN LN SUITE 100
BETHESDA MD
20814-3074
US

IV. Provider business mailing address

2727 S QUINCY ST APT 522
ARLINGTON VA
22206-2354
US

V. Phone/Fax

Practice location:
  • Phone: 301-656-4600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDX3867
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDI100000763
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: