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NPI Code Detail

MEDICARE: JUDI B KNUPP RD

MEDICARE: JUDI B KNUPP RD
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 : 1477063022
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDI B KNUPP RD
Provider Business Mailing Address
First Line : PO BOX 593
Second Line :
City : CAPE MAY COURT HOUSE
State : NJ
Zip : 08210-0593
Country : US
Telephone Number : 609-463-1488
Fax Number : 609-463-4881
Provider Business Practice Location Address
First Line : 217 N MAIN ST STE 205
Second Line :
City : CAPE MAY COURT HOUSE
State : NJ
Zip : 08210-2104
Country : US
Telephone Number : 609-463-5440
Fax Number : 609-463-9888
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2017
Last Update Date : 03/17/2018

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