| NPI | 1639066459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID MOORE President 781-254-8755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine |
| 363L00000X Nurse Practitioner | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| 163WN1003X Registered Nurse, Nutrition Support | |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |