Individual
CARLY M. ROOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
700 SPRUCE ST # 304, PHILADELPHIA, PA 19106-4022
(215) 240-7883
Mailing address
18 OLD LANCASTER RD # 2B, MERION STATION, PA 19066-1854
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004069
PA
Other
Enumeration date
01/24/2019
Last updated
01/25/2019
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