Provider Demographics
NPI:1902631039
Name:NUTRITION WITH MORGAINE LLC
Entity type:Organization
Organization Name:NUTRITION WITH MORGAINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:MORGAINE
Authorized Official - Middle Name:GALLAGHER
Authorized Official - Last Name:SCIAUDONE
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:609-556-7699
Mailing Address - Street 1:3 LEAVERING MILL LN
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-2707
Mailing Address - Country:US
Mailing Address - Phone:609-556-7699
Mailing Address - Fax:
Practice Address - Street 1:3 LEAVERING MILL LN
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-2707
Practice Address - Country:US
Practice Address - Phone:609-556-7699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty