Provider Demographics
NPI:1841596111
Name:FOOD IS GOOD
Entity type:Organization
Organization Name:FOOD IS GOOD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOGHEIB
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:484-554-7882
Mailing Address - Street 1:330 EAST MOUNT AIRY AVENUE
Mailing Address - Street 2:#2B
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:330 E MOUNT AIRY AVE
Practice Address - Street 2:#2B
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-1123
Practice Address - Country:US
Practice Address - Phone:484-554-7882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-04
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA954107133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty