Individual
MELISSA VISCUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1101 CHESTNUT ST, PHILA, PA 19107-3612
(215) 955-8900
(215) 923-3447
Mailing address
132 SOUTH 10TH STREET, 480 MAIN BUILDING, PHILA, PA 19107-5244
(215) 955-8900
(215) 923-3447
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004726
PA
Other
Enumeration date
06/11/2018
Last updated
10/28/2024
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