Provider Demographics
NPI:1073389060
Name:QUINN, MORGAN (NUTRITIONIST)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:QUINN
Suffix:
Gender:F
Credentials:NUTRITIONIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:HADDON TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08108-2509
Mailing Address - Country:US
Mailing Address - Phone:973-459-1978
Mailing Address - Fax:
Practice Address - Street 1:411 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:HADDON TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08108-2509
Practice Address - Country:US
Practice Address - Phone:973-459-1978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-30
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist