Greater Boston Nutrition LLC
Dietitian, Registered in Watertown, MA. Organization (NPI-2).
NPI number1750140810
StatusActive
Last updated in NPPESMar 18, 2024
Details
- NPI
- 1750140810
- Entity type
- Organization (NPI-2)
- Legal business name
- Greater Boston Nutrition LLC
- Organization subpart
- No
- Enumeration date
- Mar 18, 2024
- Certification date
- Mar 18, 2024
- Last updated
- Mar 18, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
95 Waltham St Apt 3Watertown, MA 02472-4815
Phone 617-564-0140
Mailing address
95 Waltham St Apt 3Watertown, MA 02472-4815
Phone 617-564-0140
Authorized official
Erin Angelillo
Owner And Provider
6175640140
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