Organization · Type 2 NPI

Virtual Preventive Care Services

Physician Nutrition Specialist (Family Medicine) · Upper Darby, PA

NPI number 1114803061 Active

Practice location

160 Long Ln Ste 3
Upper Darby, PA 19082-3439

Mailing address

7018 Saybrook Ave
Philadelphia, PA 19142-1124

Specialties and licenses

TaxonomyCodeLicense
Physician Nutrition Specialist (Family Medicine) Primary 207QP0002XNone listed
Physician Nutrition Specialist (Internal Medicine) 207RP1002XNone listed

Physician Nutrition Specialist (Family Medicine): A physician who specializes in the diagnosis and treatment of primary nutritional diseases (e.g., undernutrition, overnutrition, and genetic or acquired errors of metabolism) and adjunctive nutritional therapeutics (e.g., nutritional therapy or support of diseases states with a metabolic component). Physician Nutrition Specialists also provide services for nutritional disease prevention, including diabetes, cancer, …

3 other providers at this address

About NPI 1114803061

Virtual Preventive Care Services's National Provider Identifier is 1114803061, issued on Aug 14, 2025. The primary taxonomy on file is Physician Nutrition Specialist (Family Medicine) (207QP0002X), and the practice location is in Upper Darby, PA. The record was last updated on Aug 14, 2025.