Corporate Wellness Nutrition LLC
Dietitian, Registered in Bala Cynwyd, PA. Organization (NPI-2).
NPI number1316257553
StatusActive
Last updated in NPPESOct 1, 2025
Details
- NPI
- 1316257553
- Entity type
- Organization (NPI-2)
- Legal business name
- Corporate Wellness Nutrition LLC
- Organization subpart
- No
- Enumeration date
- Oct 20, 2010
- Certification date
- Oct 1, 2025
- Last updated
- Oct 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN003782 | PA | Yes |
Practice location
150 Monument Rd Ste 207Bala Cynwyd, PA 19004-1725
Phone 800-484-7720 · Fax 215-628-3262
Mailing address
150 Monument Rd Ste 207Bala Cynwyd, PA 19004-1725
Phone 800-484-7720 · Fax 215-628-3262
Other practice locations
1839 Manton Street
Philadelphia, PA 19146
Philadelphia, PA 19146
Phone 215-827-6701 · Fax 800-258-1426
Authorized official
Brian Davidson
Executive Director
8004847720
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