Individual
MS. ASMA ALTASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RDN,LDN
Contact information
Practice address
4700 CITY AVE APT 11402, PHILADELPHIA, PA 19131-1577
(929) 310-0002
Mailing address
4700 CITY AVE APT 11402, PHILADELPHIA, PA 19131-1577
(929) 310-0002
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86093023
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN006763
PALS
PA
Enumeration date
05/28/2019
Last updated
05/28/2019
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