Colleen Ann McGonigal, RD
Dietitian, Registered in Drexel Hill, PA. Individual provider (NPI-1).
NPI number1750815569
StatusActive
Last updated in NPPESApr 18, 2017
Details
- NPI
- 1750815569
- Entity type
- Individual (NPI-1)
- Name
- Colleen Ann McGonigal
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 18, 2017
- Last updated
- Apr 18, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN006029 | PA | Yes |
Practice location
5030 Bond AveDrexel Hill, PA 19026-4713
Phone 610-389-8599
Mailing address
5030 Bond AveDrexel Hill, PA 19026-4713
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