Mrs Irene M Soucy, RD | |
600 N Broad St Ste 1, Middletown, DE 19709-1032 | |
(302) 376-3060 | |
Not Available |
Full Name | Mrs Irene M Soucy |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 600 N Broad St Ste 1, Middletown, Delaware |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912220336 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 20100312122 (Delaware) | Primary |
133VN1005X | Dietitian, Registered - Nutrition, Renal | 20100312122 (Delaware) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Mrs Irene M Soucy, RD 7 Augustine Blvd, Middletown, DE 19709-2214 Ph: (302) 753-0560 | Mrs Irene M Soucy, RD 600 N Broad St Ste 1, Middletown, DE 19709-1032 Ph: (302) 376-3060 |
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Thrive Physical Therapy Dietitian Medicare: Medicare Enrolled Practice Location: 834 Kohl Ave, Middletown, DE 19709 Phone: 302-545-3987 | |
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