| Margaret Elizabeth Brutico, REGISTERED DIETITIAN | |
|
300 Keystone Ave, Pittston, PA 18640-6153 | |
| (833) 552-1852 | |
| (570) 214-1525 |
| Full Name | Margaret Elizabeth Brutico |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 300 Keystone Ave, Pittston, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255770954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN004953 (Pennsylvania) | Primary |
| Provider Name | Geisinger Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Provider Name | Geisinger-hm Joint Venture Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Margaret Elizabeth Brutico, REGISTERED DIETITIAN 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Margaret Elizabeth Brutico, REGISTERED DIETITIAN 300 Keystone Ave, Pittston, PA 18640-6153 Ph: (833) 552-1852 |
Cynthia Ann Iyoob, MS,RD,LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 Keystone Ave, Pittston, PA 18640 Phone: 833-552-1852 Fax: 570-214-1525 | |
Paulette Marie Mordente, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 300 Keystone Ave, Pittston, PA 18640 Phone: 833-552-1852 Fax: 570-214-1525 |