Organization
THE INSTITUTE FOR DIABETIC MANAGEMENT,LTD
Active
Organization
THE INSTITUTE FOR DIABETIC MANAGEMENT,LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS SLOCHOWER M.D. (PRESIDENT)
(215) 552-8331
Entity
Organization
Contact information
Practice address
9126 BLUE GRASS RD, PHILADELPHIA, PA 19114-3202
(215) 552-8331
(215) 552-8336
Mailing address
9126 BLUE GRASS RD, PHILADELPHIA, PA 19114-3202
(215) 552-8331
(215) 552-8336
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
—
133N00000X
Nutritionist
Primary
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
136A00000X
Registered Dietetic Technician
—
—
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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