Provider Demographics
NPI:1992542195
Name:MARZOCCA, JULIA
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:MARZOCCA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-1026
Mailing Address - Country:US
Mailing Address - Phone:856-366-5025
Mailing Address - Fax:
Practice Address - Street 1:1115 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-1026
Practice Address - Country:US
Practice Address - Phone:856-366-5025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist