| Doctor Name: | DR. JONATHAN NORMAN GROUP |
| NPI Number: | 1760480925 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.C., R.D. |
| License Number: | 807851 |
| Business Practice Address: | 24 Route 134 Suite 103 South Dennis, MA - 026603739 |
| Business Phone Number: | 5083944847 |
| Business Fax Number: | 5083943638 |
| Mailing Address: | 24 Route 134, Suite 103 SOUTH DENNIS |
| State: | MA |
| Postal Code: | 026603739 |
| Phone Number: | 5083944847 |
| Fax Number: | 5083943638 |
| NPI Enumeration Date: | 07/12/2005 |
| NPI Last Update Date: | 10/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 807851 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |