P3 Nutritionals,llc | |
1000 White Horse Rd Suite 902 Voorhees NJ 08043-4406 | |
(609) 330-9391 | |
Not Available |
Full Name | P3 Nutritionals,llc |
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Speciality | Clinic/Center |
Location | 1000 White Horse Rd, Voorhees, New Jersey |
Authorized Official Name and Position | Robin B. Pacitti (OWNER) |
Authorized Official Contact | 6093309391 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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P3 Nutritionals,llc Po Box 433 Haddonfield NJ 08033-0319 Ph: (609) 330-9391 | P3 Nutritionals,llc 1000 White Horse Rd Suite 902 Voorhees NJ 08043-4406 Ph: (609) 330-9391 |
NPI Number | 1336378728 |
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Provider Enumeration Date | 07/07/2009 |
Last Update Date | 07/07/2009 |
Medicare PECOS PAC ID | 3870764152 |
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Medicare Enrollment ID | O20110916000226 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336378728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Robin Beth Pacitti |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1871737551 PECOS PAC ID: 4789855065 Enrollment ID: I20110916000239 |
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