Provider Demographics
NPI:1235442088
Name:THE INSTITUTE FOR DIABETIC MANAGEMENT,LTD
Entity Type:Organization
Organization Name:THE INSTITUTE FOR DIABETIC MANAGEMENT,LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SLOCHOWER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-552-8331
Mailing Address - Street 1:9126 BLUE GRASS RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-3202
Mailing Address - Country:US
Mailing Address - Phone:215-552-8331
Mailing Address - Fax:215-552-8336
Practice Address - Street 1:9126 BLUE GRASS RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-3202
Practice Address - Country:US
Practice Address - Phone:215-552-8331
Practice Address - Fax:215-552-8336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty
No132700000XDietary & Nutritional Service ProvidersDietary ManagerGroup - Single Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Single Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
No136A00000XDietary & Nutritional Service ProvidersDietetic Technician, RegisteredGroup - Single Specialty