MEDICARE: MRS. MARGARET SPINOZZI

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
1	133V00000X	Registered Dietitian	DN000072	PA

General Provider Information

NPI Number	:	1508148321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARGARET SPINOZZI

Provider Business Mailing Address
First Line	:	4190 CITY LINE AVE
Second Line	:	SUITE 324
City	:	PHILADELPHIA
State	:	PA
Zip	:	19131-1633
Country	:	US
Telephone Number	:	215-871-1916
Fax Number	:	215-871-1928

Provider Business Practice Location Address
First Line	:	4190 CITY LINE AVE
Second Line	:	SUITE 324
City	:	PHILADELPHIA
State	:	PA
Zip	:	19131-1633
Country	:	US
Telephone Number	:	215-871-1916
Fax Number	:	215-871-1928

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2011
Last Update Date	:	10/04/2011

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