Advanced Nutrition, Llc

NPI 1174947253 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1174947253
Enumeration Date 02/11/2014
Last Updated 02/11/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ADAM ADAM
Position CO-OWNER
Phone (781) 642-1250
Fax (781) 207-6415
Practice Location
32 SOUTH ST
UNIT 300
WALTHAM MA, 02453-3594, US
Phone (781) 642-1250
Fax (781) 207-6415
Business Location
32 SOUTH ST
UNIT 300
WALTHAM MA, 02453-3594, US
Phone (781) 642-1250
Fax (781) 207-6415
Toxanomy
Taxonomy Code 133V00000X
License State Massachusetts
License Number 2334
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According to our database, Advanced Nutrition, Llc NPI is 1174947253, taxonomy code is 133V00000X and license number is 2334, license state is located at Massachusetts. Advanced Nutrition, Llc physically located at 32 South St, Waltham MA, 02453-3594. NPI Number 1033115704 has the healthcare provider type.

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1174947253 NPI number is provided on an as is basis without warranty of any kind. 1174947253 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Nutrition, Llc are for informational purposes only.