Ms Sophia Rose Ursino, RD | |
1450 Marlton Pike E, Cherry Hill, NJ 08034-2244 | |
(856) 874-7800 | |
Not Available |
Full Name | Ms Sophia Rose Ursino |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 1450 Marlton Pike E, Cherry Hill, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932815651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86326787 (New Jersey) | Primary |
Provider Name | Patient Care Medical Group Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891362364 PECOS PAC ID: 8022413459 Enrollment ID: O20210824001982 |
Mailing Address | Practice Location Address |
---|---|
Ms Sophia Rose Ursino, RD 1450 Marlton Pike E, Cherry Hill, NJ 08034-2244 Ph: (856) 874-7700 | Ms Sophia Rose Ursino, RD 1450 Marlton Pike E, Cherry Hill, NJ 08034-2244 Ph: (856) 874-7800 |
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