Provider Demographics
NPI:1851726814
Name:MILLER, SARAH (RD)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 ISAAC LN
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-1752
Mailing Address - Country:US
Mailing Address - Phone:856-321-8322
Mailing Address - Fax:
Practice Address - Street 1:261 OLD YORK ROAD
Practice Address - Street 2:SUITE 620
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-9995
Practice Address - Country:US
Practice Address - Phone:215-885-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-10
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ934040133NN1002X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education