Individual
JILL M MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.N.
Contact information
Practice address
445 MARSHALL ST, SUITE 147, PHILLIPSBURG, NJ 08865-2695
(908) 319-4339
(908) 718-7646
Mailing address
234 ARBOR DR, STEWARTSVILLE, NJ 08886-2324
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005223
PA
Other
Enumeration date
02/02/2017
Last updated
05/01/2017
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