Provider Demographics
NPI:1689442295
Name:PUTZI, MADELEINE (MS, RDN, CLC)
Entity Type:Individual
Prefix:
First Name:MADELEINE
Middle Name:
Last Name:PUTZI
Suffix:
Gender:F
Credentials:MS, RDN, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 NOBLESTOWN RD STE 210
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-3956
Mailing Address - Country:US
Mailing Address - Phone:412-350-4637
Mailing Address - Fax:
Practice Address - Street 1:28 SHADOW DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15227-1049
Practice Address - Country:US
Practice Address - Phone:570-470-4863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered