Healthcare Provider Details

I. General information

NPI: 1871737551
Provider Name (Legal Business Name): ROBIN B PACITTI RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2009
Last Update Date: 04/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 WHITE HORSE RD STE 902 GLENDALE EXECUTIVE CAMPUS
VOORHEES NJ
08043-4406
US

IV. Provider business mailing address

PO BOX 433
HADDONFIELD NJ
08033-0319
US

V. Phone/Fax

Practice location:
  • Phone: 609-330-9391
  • Fax: 856-216-7711
Mailing address:
  • Phone: 609-330-9391
  • Fax: 856-216-7711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: