| NPI | 1942363056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER LEVINE Chief Financial & Admin. Officer 617-735-1974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 2539) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2009-07-23 |