Provider Demographics
NPI:1639998016
Name:SKWARA, MORGAN M (RDN)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:M
Last Name:SKWARA
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1181 NIXON DR # 1055
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3201
Mailing Address - Country:US
Mailing Address - Phone:609-293-8604
Mailing Address - Fax:
Practice Address - Street 1:1181 NIXON DR # 1055
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3201
Practice Address - Country:US
Practice Address - Phone:609-293-8604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-03
Last Update Date:2024-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA86372616133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty