Provider Demographics
NPI:1912523374
Name:MOSAKOWSKI, NICHOLAS DAVID (RDN)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:DAVID
Last Name:MOSAKOWSKI
Suffix:
Gender:M
Credentials:RDN
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:117 MAHOGANY LN
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-2299
Mailing Address - Country:US
Mailing Address - Phone:610-635-9942
Mailing Address - Fax:866-492-0362
Practice Address - Street 1:150 S WARNER RD STE 130
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-2826
Practice Address - Country:US
Practice Address - Phone:610-635-9942
Practice Address - Fax:944-689-1175
Is Sole Proprietor?:No
Enumeration Date:2020-06-22
Last Update Date:2024-05-04
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management