Individual
NICHOLAS JOSEPH FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, LDN
Contact information
Practice address
453 EASTON RD, HORSHAM, PA 19044-2508
(484) 228-1456
Mailing address
616 GREEN MEADOW DR, DOUGLASSVILLE, PA 19518-1344
(484) 228-1456
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN007017
PA
Other
Enumeration date
03/08/2020
Last updated
06/20/2023
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