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Emilie Sjostrom Burgess, MS, RDN, LDN

Dietitian, Registered in Cambridge, MA. Individual provider (NPI-1).

NPI number1912406331
StatusActive
Last updated in NPPESFeb 12, 2018

Details

NPI
1912406331
Entity type
Individual (NPI-1)
Name
Ms. Emilie Sjostrom Burgess
Credential
MS, RDN, LDN
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 12, 2018
Last updated
Feb 12, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered86058869MAYes

Practice location

3 Bow St
Cambridge, MA 02138-5109

Phone 617-547-2255

Mailing address

213 Farmholme Rd
Stonington, CT 06378-2205

Phone 860-857-8153

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