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NPI Code Detail

MEDICARE: CHRISTINA A. SUNDERMAN MS, RD, LD

MEDICARE: CHRISTINA A. SUNDERMAN MS, RD, LD
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 Dietitian5459OH

General Provider Information

NPI Number : 1730745050
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA A. SUNDERMAN MS, RD, LD
Provider Business Mailing Address
First Line : 3229 BURNET AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-3018
Country : US
Telephone Number : 513-872-6397
Fax Number :
Provider Business Practice Location Address
First Line : 3229 BURNET AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-3018
Country : US
Telephone Number : 513-872-6397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2019
Last Update Date : 05/13/2019

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