MR. Mark Anthony Doublet, R.D., C.D.E.
NPI #1659814077 in Port Jefferson, New York
Provider Information
- NPI Number
- 1659814077
- Entity Type
- Individual
- Name
- MR. Mark Anthony Doublet, R.D., C.D.E.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- R.D., C.D.E.
- Enumeration Date
- Dec 3, 2016
- Last Updated
- Dec 3, 2016
Practice Location
- Address
- 75 N COUNTRY RD
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-2119
- Phone
- (631) 686-2505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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