Beth Auguste, RDN | |
1901 South 9th Street, Bok Building, #508, Philadelphia, PA 19148 | |
(267) 281-3363 | |
Not Available |
Full Name | Beth Auguste |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1901 South 9th Street, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942798186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1046348 (* (Not Available)) | Primary |
Provider Name | Be Well With Beth Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831759232 PECOS PAC ID: 6901135912 Enrollment ID: O20190916003057 |
Mailing Address | Practice Location Address |
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Beth Auguste, RDN 1325 Castle Ave, Philadelphia, PA 19148-1506 Ph: (267) 281-3363 | Beth Auguste, RDN 1901 South 9th Street, Bok Building, #508, Philadelphia, PA 19148 Ph: (267) 281-3363 |
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