| NPI | 1689194201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE CATHERINE COSTANZO Owner 781-858-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NH 0631) |
| Enumeration Date | 2017-06-24 |
| Last Update Date | 2022-07-21 |