Provider Demographics
NPI:1740935469
Name:FITKOWSKI, MARGARET JO (RD,CDN)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:JO
Last Name:FITKOWSKI
Suffix:
Gender:F
Credentials:RD,CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8872 BANTING AVE.
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L2G6Z9
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8872 BANTING AVE
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:ONTARIO
Practice Address - Zip Code:L2G 6Z9
Practice Address - Country:CA
Practice Address - Phone:905-295-6719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered