Stephanie Sudjian, | |
901 Byers Dr # 1072, Glen Mills, PA 19342-3323 | |
(508) 319-9537 | |
Not Available |
Full Name | Stephanie Sudjian |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 901 Byers Dr # 1072, Glen Mills, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1033667704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 4137 (Massachusetts) | 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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Stephanie Sudjian, 901 Byers Dr # 1072, Glen Mills, PA 19342-3323 Ph: (508) 319-9537 | Stephanie Sudjian, 901 Byers Dr # 1072, Glen Mills, PA 19342-3323 Ph: (508) 319-9537 |
Ms. Jane Marshall, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 50 Applied Bank Blvd, Glen Mills, PA 19342 Phone: 484-844-1464 Fax: 800-355-1029 | |
Lauren Nicole Lois Peterson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 901 Byers Dr # 1072, Glen Mills, PA 19342 Phone: 508-907-8850 | |
Mrs. Kristin Hock, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1020 Baltimore Pike Ste 150, Glen Mills, PA 19342 Phone: 484-227-7910 | |
Catherine Hammer, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9304 Chevers Dr, Glen Mills, PA 19342 Phone: 215-495-2793 |