| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KATHERINE RAGUSA | 1356085054 | 2022-06-19 |
Katherine Ragusa is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1356085054. Registration indicates Katherine Ragusa is a provider of services with a specialization in Dietary & Nutritional Service Providers, Dietitian, Registered (Dietitian, Registered, ) (All Other Specialties & Provider Types, ) (Dietitian, Registered, Dietary & Nutritional Service Providers)
| Entity Type | Individual |
| Provider Name | Katherine Ragusa MS, RDN, IBCLC |
| Practice Office Address | 15000 MIDLANTIC DR STE 101 MOUNT LAUREL, NJ US |
| Practice Office Telephone | 8007363739 |
| Mailing Address | 161 GAITHER DR STE 105 MOUNT LAUREL, NJ 080541740 US |
| Code | Practice | License No State |
|---|---|---|
| 133V00000X PRIMARY | Dietary & Nutritional Service Providers Dietitian, Registered Dietitian, Registered All Other Specialties & Provider Types Dietitian, Registered Dietary & Nutritional Service Providers | |
| 193200000X MULT | Group Code |