| NPI | 1720317100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN FLANNIGAN Controller 781-682-5885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 000002948) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2009-12-15 |