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Contact Information

MICHAEL J WOOTSON I, RD, LDN
43 MIDDLETON LN
WILLINGBORO, NJ08046-3127
 Phone: 609-379-0196
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Gerontological

133VN1101X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Sports Dietetics

133VN1501X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for MICHAEL J WOOTSON I · (Male)

NPI Number 1336872746
Status Active
Credentials RD, LDN
Entity Individual
Enumeration date 07/04/2022
Last updated 07/04/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • PA License # DN007628
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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