Jennifer Mccarthy, | |
2457 Frankford Ave Apt C, Philadelphia, PA 19125-1661 | |
(908) 763-0313 | |
Not Available |
Full Name | Jennifer Mccarthy |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 2457 Frankford Ave Apt C, 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 |
---|---|---|---|
1528602927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86034585 (Pennsylvania) | Primary |
Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
Mailing Address | Practice Location Address |
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Jennifer Mccarthy, 2457 Frankford Ave Apt C, Philadelphia, PA 19125-1661 Ph: (908) 763-0313 | Jennifer Mccarthy, 2457 Frankford Ave Apt C, Philadelphia, PA 19125-1661 Ph: (908) 763-0313 |
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