Basic Information
| Provider Information | |||||||||
| NPI: | 1316115462 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DROMAZOS | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | K | ||||||||
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| Credential: | RD, LDN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 757 NORLAND AVE | ||||||||
| Address2: | SUITE 204 | ||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172014230 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172176820 | ||||||||
| FaxNumber: | 7172176942 | ||||||||
| Practice Location | |||||||||
| Address1: | 757 NORLAND AVE | ||||||||
| Address2: | SUITE 204 | ||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172014230 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172176820 | ||||||||
| FaxNumber: | 7172176942 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/12/2008 | ||||||||
| LastUpdateDate: | 02/12/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | DN000639 | PA | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.