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NPI Code Detail

MEDICARE: MS. MEREDITH J YORKIN RDN

MEDICARE: MS. MEREDITH J YORKIN 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 Dietitian1081413NJ

General Provider Information

NPI Number : 1376913285
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MEREDITH J YORKIN RDN
Provider Business Mailing Address
First Line : 25 POMPTON AVE STE 101
Second Line :
City : VERONA
State : NJ
Zip : 07044-2938
Country : US
Telephone Number : 555-555-5555
Fax Number : 877-844-4791
Provider Business Practice Location Address
First Line : 25 POMPTON AVE STE 101
Second Line :
City : VERONA
State : NJ
Zip : 07044-2938
Country : US
Telephone Number : 555-555-5555
Fax Number : 877-844-4791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2015
Last Update Date : 04/29/2022

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