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NPI Code Detail

MEDICARE: MS. PATRICIA DINUNZIO-RUTH R.D.,LDN

MEDICARE: MS. PATRICIA DINUNZIO-RUTH R.D.,LDN
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 DietitianDN001085PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15981479OTHERPAAETNA

General Provider Information

NPI Number : 1467587311
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA DINUNZIO-RUTH R.D.,LDN
Provider Business Mailing Address
First Line : 867 KULP RD
Second Line :
City : HARLEYSVILLE
State : PA
Zip : 19438-1008
Country : US
Telephone Number : 215-256-6259
Fax Number :
Provider Business Practice Location Address
First Line : 1101 S BROAD ST
Second Line :
City : LANSDALE
State : PA
Zip : 19446-5393
Country : US
Telephone Number : 215-896-4902
Fax Number : 215-362-3414
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 04/12/2016

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