MEDICARE: CAROLINE SCHMALZ RDN, 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
1	133V00000X	Registered Dietitian	DI100001143	DC
2	133V00000X	Registered Dietitian	DX4646	MD

General Provider Information

NPI Number	:	1992327480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE SCHMALZ RDN, LDN

Provider Business Mailing Address
First Line	:	2655 MCCOMAS AVE
Second Line	:
City	:	KENSINGTON
State	:	MD
Zip	:	20895-2826
Country	:	US
Telephone Number	:	708-606-9943
Fax Number	:

Provider Business Practice Location Address
First Line	:	2655 MCCOMAS AVE
Second Line	:
City	:	KENSINGTON
State	:	MD
Zip	:	20895-2826
Country	:	US
Telephone Number	:	708-606-9943
Fax Number	:

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

Provider Enumeration Date	:	05/07/2020
Last Update Date	:	05/07/2020

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