NPI | 1376965905 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELE QUINLAN Director Of Clinical Services 617-595-7044 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 3475) |
Enumeration Date | 2014-01-16 |
Last Update Date | 2014-10-01 |