| Monica Fantauzzi, | |
|
150 Monument Rd, Ste 207, Bala Cynwyd, PA 19004-1702 | |
| (800) 203-8657 | |
| (800) 258-1426 |
| Full Name | Monica Fantauzzi |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 150 Monument Rd, Bala Cynwyd, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194275495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86040140 (Pennsylvania) | Primary |
| Provider Name | New Jersey Medical And Health Associates,llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558673582 PECOS PAC ID: 9133300791 Enrollment ID: O20110302000334 |
| Provider Name | Medical Associates Of Englewood Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952681918 PECOS PAC ID: 1355512252 Enrollment ID: O20110927000020 |
| Mailing Address | Practice Location Address |
|---|---|
| Monica Fantauzzi, 150 Monument Rd, Ste 207, Bala Cynwyd, PA 19004-1702 Ph: (800) 203-8657 | Monica Fantauzzi, 150 Monument Rd, Ste 207, Bala Cynwyd, PA 19004-1702 Ph: (800) 203-8657 |
Autumn Limegrover, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 150 Monument Rd, Ste 207, Bala Cynwyd, PA 19004 Phone: 800-203-8657 Fax: 800-258-1426 | |
Gordana Chelsvig, R.D., LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 112 Bala Ave, 2nd Floor, Bala Cynwyd, PA 19004 Phone: 610-667-1588 Fax: 610-667-3699 | |
Anisah Yvonne Poole, RD, LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 150 Monument Rd Ste 207, Bala Cynwyd, PA 19004 Phone: 800-203-8657 Fax: 800-258-1426 | |
Carlie Saint Laurent, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 150 Monument Rd Ste 207, Bala Cynwyd, PA 19004 Phone: 800-203-8657 Fax: 800-258-1426 | |
Lynn Nicholas, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 150 Monument Rd, Ste 207, Bala Cynwyd, PA 19004 Phone: 800-203-8657 | |
Arthur Fogelson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Presidential Blvd, Bala Cynwyd, PA 19004 Phone: 267-312-4420 |