| Doctor Name: | DR. JEAN ELENA TOMEZSKO |
| NPI Number: | 1043543770 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD, RD, LDN |
| License Number: | 719831 |
| Business Practice Address: | 4 Prince Eugene Ln Media, PA - 190635211 |
| Business Phone Number: | 6105652989 |
| Business Fax Number: | |
| Mailing Address: | 4 Prince Eugene Ln, MEDIA |
| State: | PA |
| Postal Code: | 190635211 |
| Phone Number: | 6105652989 |
| Fax Number: | |
| NPI Enumeration Date: | 09/14/2009 |
| NPI Last Update Date: | 09/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1004X |
| License Number: | 719831 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Pediatric |
| Taxonomy Definition: | |