Provider Demographics
NPI:1871737551
Name:PACITTI, ROBIN B (RD)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:B
Last Name:PACITTI
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:PO BOX 433
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-0319
Mailing Address - Country:US
Mailing Address - Phone:609-330-9391
Mailing Address - Fax:856-216-7711
Practice Address - Street 1:1000 WHITE HORSE RD
Practice Address - Street 2:STE 902 GLENDALE EXECUTIVE CAMPUS
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4406
Practice Address - Country:US
Practice Address - Phone:609-330-9391
Practice Address - Fax:856-216-7711
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education