Michael Joshua Wootson I, RD, LDN
Michael Joshua Wootson I, RD, LDN is a Pediatric Nutrition Registered Dietitian in Willingboro, New Jersey. Licensed in Pennsylvania. Registered with an NPI since 2022.
- Licensed in
- PA
- In the registry since
- 2022
- Specialties on file
- 4
What do these letters mean?
Practice location Address checks out
43 Middleton LnWillingboro, NJ 08046-3127
Phone: (609) 379-0196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence DN007628 (PA) |
|---|---|
| Pediatric Nutrition Registered Dietitian | Taxonomy 133VN1004X |
| Gerontological Nutrition Registered Dietitian | Taxonomy 133VN1101X |
| Sports Dietetics Nutrition Registered Dietitian | Taxonomy 133VN1501X |
Record details
| NPI number | 1336872746 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RD , LDN |
| Sole proprietor | No |
| NPI enumerated | July 4, 2022 |
| Last updated in NPPES | July 4, 2022 |
| Certification date | July 4, 2022 |