Susan Colavito, MS, RD, LDN
Dietitian, Registered in East Bangor, PA. Individual provider (NPI-1).
NPI number1528186129
StatusActive
Last updated in NPPESDec 17, 2015
Details
- NPI
- 1528186129
- Entity type
- Individual (NPI-1)
- Name
- Ms. Susan Colavito
- Credential
- MS, RD, LDN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 26, 2007
- Last updated
- Dec 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN005415 | PA | Yes |
Practice location
327 Chestnut StEast Bangor, PA 18013-2224
Phone 610-248-6644
Mailing address
327 Chestnut StEast Bangor, PA 18013-2224
Phone 610-248-6644
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