Provider Demographics
NPI:1043757545
Name:SARNO, MARILYN IRENE (MA RD LDN CDE)
Entity Type:Individual
Prefix:MRS
First Name:MARILYN
Middle Name:IRENE
Last Name:SARNO
Suffix:
Gender:F
Credentials:MA RD LDN CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 BISHOP DR
Mailing Address - Street 2:
Mailing Address - City:ASTON
Mailing Address - State:PA
Mailing Address - Zip Code:19014-1304
Mailing Address - Country:US
Mailing Address - Phone:610-357-3195
Mailing Address - Fax:
Practice Address - Street 1:31 BISHOP DR
Practice Address - Street 2:
Practice Address - City:ASTON
Practice Address - State:PA
Practice Address - Zip Code:19014-1304
Practice Address - Country:US
Practice Address - Phone:610-357-3195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN000092133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered