MS. MELISSA R. BENNETT


Address: 1417 Brace Rd, Cherry Hill, NJ 08034-3524
Phone: 8567953131

MS. MELISSA R. BENNETT (NPI# 1619172715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619172715
Entity Type Individual
Full Name MS. MELISSA R. BENNETT
Credential RD, CDE
Practice Address 1417 Brace Rd
Cherry Hill
NJ 08034-3524
Practice Telephone 8567953131
Practice Fax Number 8563540562
Mailing Telephone 8567953131
Mailing Fax Number 8563540562
Enumeration Date 2007-06-19
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1005X Dietitian, Registered
Specialization: Nutrition, Renal
Dietary & Nutritional Service Providers

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Office Location

Street Address 1417 BRACE RD
City CHERRY HILL
State NJ
Zip Code 08034-3524

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 133VN1005X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Renal

Taxonomy Definition

Definition to come...

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Competitor

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City CHERRY HILL
Zip Code 08034

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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