Doctor Name: | MRS. JULIANA VOCCA CHAKRABARTI |
NPI Number: | 1043434442 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, CSP, LDN |
License Number: | DN000975 |
Business Practice Address: | 500 Lippincott Dr Marlton, NJ - 080534802 |
Business Phone Number: | 8569141428 |
Business Fax Number: | |
Mailing Address: | 60 Broadacre Dr, MOUNT LAUREL |
State: | NJ |
Postal Code: | 080544705 |
Phone Number: | 8569141428 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1004X |
License Number: | DN000975 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Pediatric |
Taxonomy Definition: |