Provider Demographics
NPI:1992907307
Name:MONFILETTO, CARMEL (MS,RD,LDN)
Entity type:Individual
Prefix:MS
First Name:CARMEL
Middle Name:
Last Name:MONFILETTO
Suffix:
Gender:F
Credentials:MS,RD,LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 ANCHOR WAY UNIT 212
Mailing Address - Street 2:
Mailing Address - City:REHOBOTH BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19971-2450
Mailing Address - Country:US
Mailing Address - Phone:484-467-4538
Mailing Address - Fax:
Practice Address - Street 1:19330 LIGHTHOUSE PLAZA BLVD UNIT 1
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-6161
Practice Address - Country:US
Practice Address - Phone:302-585-8555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN002524133V00000X
DEDN0000519133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered