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Individual

NICOLE KATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
5048 W CHESTER PIKE, NEWTOWN SQUARE, PA 19073-2802
(440) 522-5578
Mailing address
2419 BAINBRIDGE ST, PHILADELPHIA, PA 19146-1014
(440) 522-5578

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004525
PA

Other

Enumeration date
02/05/2016
Last updated
04/03/2019
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