Provider Demographics
NPI:1427724657
Name:RAMONDO, CAROLYN (RD, LDN, CNSC)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:RAMONDO
Suffix:
Gender:F
Credentials:RD, LDN, CNSC
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:
Other - Last Name:DEPUY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RD, LDN, CNSC
Mailing Address - Street 1:3400 CIVIC CENTER BLVD.
Mailing Address - Street 2:WEST PAVILION 4TH FL SUITE 4-900 W
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-5134
Mailing Address - Country:US
Mailing Address - Phone:215-662-2300
Mailing Address - Fax:215-614-0418
Practice Address - Street 1:3400 CIVIC CENTER BLVD.
Practice Address - Street 2:WEST PAVILION 4TH FL SUITE 4-900 W
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-5134
Practice Address - Country:US
Practice Address - Phone:215-662-2300
Practice Address - Fax:215-614-0418
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN005636133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered