Paul Foster
Dietitian, Registered in Worcester, MA. Individual provider (NPI-1).
NPI number1164084612
StatusActive
Last updated in NPPESJul 5, 2019
Details
- NPI
- 1164084612
- Entity type
- Individual (NPI-1)
- Name
- Paul Foster
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2019
- Last updated
- Jul 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 4004 | MA | Yes |
Practice location
55 Lake Ave NWorcester, MA 01655-0002
Phone 774-443-7567
Mailing address
55 Lake Ave NWorcester, MA 01655-0002
Phone 774-443-7567
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