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Individual

MORGAN BOKER-PORPORA GOODSTADT

Active
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Individual

MORGAN BOKER-PORPORA GOODSTADT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, CDN, LDN

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
011063
NY
133V00000X
Registered Dietitian
10696
FL
133V00000X
Registered Dietitian
Primary
86171608

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011063
NEW YORK CDN
NY
01
10696
FLORIDA LDN IDENTIFICATION
FL
01
86171608
CDR IDENTIFICATION
Enumeration date
04/06/2022
Last updated
06/06/2024
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