Individual
MRS. THERESA M MCGROARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD LDN CDE
Contact information
Practice address
5201 HAVERFORD AVE, PHILADELPHIA, PA 19139-1401
(215) 471-2763
(215) 472-6092
Mailing address
5201 HAVERFORD AVE, PHILADELPHIA, PA 19139-1401
(215) 471-2763
(215) 472-6092
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001097
PA
Other
Enumeration date
06/30/2008
Last updated
03/30/2014
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