MEDICARE: BARBARA JEAN MOSCHITTA MPS RD CDN

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	003975	NY
2	133V00000X	Registered Dietitian	1827	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	003975	OTHER	NY	CERTIFIED DIETITIAN /NUTR

General Provider Information

NPI Number	:	1932186418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA JEAN MOSCHITTA MPS RD CDN

Provider Business Mailing Address
First Line	:	PO BOX 357
Second Line	:
City	:	RIDGELAND
State	:	SC
Zip	:	29936-2605
Country	:	US
Telephone Number	:	843-987-7400
Fax Number	:

Provider Business Practice Location Address
First Line	:	719 OKATIE HWY # 170
Second Line	:
City	:	OKATIE
State	:	SC
Zip	:	29909-3963
Country	:	US
Telephone Number	:	843-987-7400
Fax Number	:

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

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	03/10/2025

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