Individual
MRS. CHERYL C MARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
211 S 9TH ST, PHILADELPHIA, PA 19107-6810
(215) 955-1925
(215) 928-3160
Mailing address
615 CHESTNUT ST, 14TH FLOOR, CENTRAL ENROLLMENT, PHILADELPHIA, PA 19106-4404
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001985
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007761098
—
PA
Enumeration date
07/11/2007
Last updated
01/19/2016
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