Organization · NPI-2

Birchwood Nutrition Group INC.

Dietitian, Registered · Hopkinton, MA

NPI number1215307392
StatusActive
Last updated in NPPESOct 1, 2015

Details

NPI
1215307392
Entity type
Organization (NPI-2)
Legal business name
Birchwood Nutrition Group INC.
Organization subpart
No
Enumeration date
Oct 1, 2015
Last updated
Oct 1, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered2088MAYes

Practice location

77r W Main St # R
Hopkinton, MA 01748-1688

Phone 781-724-9359

Mailing address

30 Purdue Dr
Milford, MA 01757-1243

Phone 781-724-9359

Authorized official

Kimberly Beth Minogue
President/Registered Dietitan
7817249359

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