Organization

Philadelphia Nutrition Center, Llc

Nutritionist in Philadelphia, PA(View on Map)

Legal Business Name

Philadelphia Nutrition Center, Llc

NPI Number

1578864823

NPI Type

Organization

Enumeration Date

11/03/2010

Specialties

(Taxonomies)

Code

133N00000X
133V00000X

Primary Taxonomy

Yes
No

Licenses

State

Pennsylvania

License Number

DN003994

Contact
Information

Purpose

Mailing
Location

Address

2026 CHESTNUT ST
2026 CHESTNUT ST

City

Philadelphia
Philadelphia

State

PA
PA

Postal Code

19103-4446
19103-4446

Country

US
US

Telephone Number

(215) 431-0968
(215) 431-0968

Authorized Official

Name

Kevin O'Melia

Title or Position

OWNER

Telephone Number

(215) 431-0968

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/19/2012

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