Provider Demographics
NPI:1629386578
Name:HARUM, MARGARET (RD, LD)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:
Last Name:HARUM
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 A OLD CHERRY POINT ROAD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-6782
Mailing Address - Country:US
Mailing Address - Phone:305-903-6016
Mailing Address - Fax:
Practice Address - Street 1:2113 NEUSE BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-4309
Practice Address - Country:US
Practice Address - Phone:252-633-6303
Practice Address - Fax:252-633-9436
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLOO2981133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal