Individual
ELIZABETH NOTTAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7170 LAFAYETTE AVE, FORT WASHINGTON, PA 19034-2301
(215) 641-5300
Mailing address
7170 LAFAYETTE AVE, FORT WASHINGTON, PA 19034-2301
(215) 641-5300
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN000143
PA
Other
Enumeration date
03/30/2008
Last updated
03/30/2008
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