Susan Rudalavage in Scranton - Dietitian, Registered

Susan Rudalavage - NPI 1619092970

Susan Rudalavage is a Dietitian, Registered in Scranton, Pennsylvania. Susan Rudalavage practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Susan Rudalavage is 1619092970. The last update date is 2007-07-08.

Susan Rudalavage's current location address is 640 Madison Avenue, Scranton, Pennsylvania. You can contact this provider via phone number 5709410630 and fax number 5709410648. The mailing address for Susan Rudalavage is 640 Madison Avenue, Scranton, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Rudalavage
Address 640 Madison Avenue, Scranton, Pennsylvania
Phone Number 5709410630
Fax Number 5709410648
Sole Proprietor N
Credentials NUTRITIONI

NPI Number Detail

NPI Number 1619092970
Provider Enumeration Date 2007-03-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 640 Madison Avenue
City Scranton
State Pennsylvania (PA)
Post Code 18510
Phone Number 5709410630
Fax Number 5709410648

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No DN003044
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

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FAQs about Susan Rudalavage

What is the unique identifier code issued to Susan Rudalavage by the Centers for Medicare & Medicaid Services (CMS)?

The Susan Rudalavage has been assigned the NPI (National Provider Identifier) 1619092970. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Susan Rudalavage is located?

The Susan Rudalavage is situated at the following address: 640 Madison Avenue, Scranton, PA, 18510.

What is Susan Rudalavage's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Susan Rudalavage is Dietitian, Registered, and the taxonomy code that classifies this field of practice is 133V00000X.

On what date did Susan Rudalavage receive its 1619092970 assignment from the Centers for Medicare & Medicaid Services?

The Susan Rudalavage was assigned its 1619092970 on 2007-03-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Susan Rudalavage most recently updated or revised?

The information pertaining to Susan Rudalavage, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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