NPI | 1851664767 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW R BERKEY Office Manager 781-647-0066 |
Organization Subpart ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 2793) |
Enumeration Date | 2012-02-23 |
Last Update Date | 2012-02-23 |