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NPI Profile for VIRTUAL PREVENTIVE CARE SERVICES in UPPER DARBY, PA.
A physician who specializes in the diagnosis and treatment of primary nutritional diseases (e.g., undernutrition, overnutrition, and genetic or acquired errors of metabolism) and adjunctive nutritional therapeutics (e.g., nutritional therapy or support of diseases states with a metabolic component). Physician Nutrition Specialists also provide services for nutritional disease prevention, including diabetes, cancer, Alzheimer’s, hospital malnutrition screening, and perioperative nutrition.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Physician Nutrition Specialist |
207QP0002X | 08 | Physician/Family Practice | |
Physician Nutrition Specialist |
207RP1002X | 11 | Physician/Internal Medicine |
| NPI Number | 1114803061 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/14/2025 | |
| Last updated | 08/14/2025 - About 10 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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VIRTUAL PREVENTIVE CARE SERVICES
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VIRTUAL PREVENTIVE CARE SERVICES