Provider Demographics
NPI:1275032245
Name:MEREDITH A. CHEIFETZ, MS, RD, LDN
Entity Type:Organization
Organization Name:MEREDITH A. CHEIFETZ, MS, RD, LDN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTING DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHEIFETZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LDN
Authorized Official - Phone:215-793-0933
Mailing Address - Street 1:1429 TREETOP LN
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-4031
Mailing Address - Country:US
Mailing Address - Phone:215-793-0933
Mailing Address - Fax:215-793-0933
Practice Address - Street 1:1429 TREETOP LANE
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002
Practice Address - Country:US
Practice Address - Phone:215-793-0933
Practice Address - Fax:215-793-0933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-06
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN001414133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty