Individual
MS. SUSAN COLAVITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
327 CHESTNUT ST, EAST BANGOR, PA 18013-2224
(610) 248-6644
Mailing address
327 CHESTNUT ST, EAST BANGOR, PA 18013-2224
(610) 248-6644
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005415
PA
Other
Enumeration date
03/26/2007
Last updated
12/17/2015
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