Provider Demographics
NPI:1851187496
Name:MARIAH MARSH NUTRITION SERVICES
Entity type:Organization
Organization Name:MARIAH MARSH NUTRITION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LARAIO
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LDN
Authorized Official - Phone:484-686-3473
Mailing Address - Street 1:243 OAK ST
Mailing Address - Street 2:
Mailing Address - City:AUDUBON
Mailing Address - State:NJ
Mailing Address - Zip Code:08106-1553
Mailing Address - Country:US
Mailing Address - Phone:484-686-3473
Mailing Address - Fax:856-494-1924
Practice Address - Street 1:5 W CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:MERCHANTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08109-2309
Practice Address - Country:US
Practice Address - Phone:484-686-3473
Practice Address - Fax:856-494-1924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty