Doctor Name: | DR. FRANK G BOTTONE |
NPI Number: | 1063838589 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD, RDN, LDN |
License Number: | L003458 |
Business Practice Address: | 120 Bayless Ridge Ct Suite 101 Morrisville, NC - 275607741 |
Business Phone Number: | 9193781395 |
Business Fax Number: | |
Mailing Address: | 120 Bayless Ridge Ct, MORRISVILLE |
State: | NC |
Postal Code: | 275607741 |
Phone Number: | 9193781395 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2014 |
NPI Last Update Date: | 03/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | L003458 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |