Individual
MICHAEL WALTER SZYMENDERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RND
Contact information
Practice address
3551 N BROAD ST, PHILADELPHIA, PA 19140-4160
(215) 430-4000
Mailing address
3551 N BROAD ST, PHILADELPHIA, PA 19140-4160
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN002725
PA
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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