Provider Demographics
NPI:1508148321
Name:SPINOZZI, MARGARET
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:SPINOZZI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:ANN
Other - Last Name:SCHIAVO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD CDE, LDN
Mailing Address - Street 1:4190 CITY LINE AVE
Mailing Address - Street 2:SUITE 324
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-1633
Mailing Address - Country:US
Mailing Address - Phone:215-871-1916
Mailing Address - Fax:215-871-1928
Practice Address - Street 1:4190 CITY LINE AVE
Practice Address - Street 2:SUITE 324
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-1633
Practice Address - Country:US
Practice Address - Phone:215-871-1916
Practice Address - Fax:215-871-1928
Is Sole Proprietor?:No
Enumeration Date:2011-09-19
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN000072133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered