Organization
CASE SPECIFIC NUTRITION LLC
Active
Other names
A.M. Wade Nutrition Group LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ROB MARTY (OFFICE ADMIN)
(412) 726-5607
Entity
Organization
Contact information
Practice address
5750 BAUM BLVD STE 306, PITTSBURGH, PA 15206-3793
(412) 593-2048
(844) 311-7396
Mailing address
5750 BAUM BLVD STE 306, PITTSBURGH, PA 15206-3793
(412) 726-5607
(844) 311-7396
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
163WD0400X
Diabetes Educator Registered Nurse
—
—
174H00000X
Health Educator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038862390001
—
PA
05
—
1038862390002
—
PA
Enumeration date
08/27/2015
Last updated
04/22/2025
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