Boston Functional Nutrition
Boston Functional Nutrition is a Registered Dietitian in Concord, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2015.
- Licensed in
- MA
- In the registry since
- 2015
Practice location Address checks out
97 Lowell Rd Millbrook TarryConcord, MA 01742-1733
Phone: (617) 650-7572
Fax: (888) 835-5844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 2715 (MA) |
|---|
Record details
| NPI number | 1609266931 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ayla Withee — Owner · (617) 650-7572 |
| NPI enumerated | January 26, 2015 |
| Last updated in NPPES | July 14, 2016 |
| Mailing address | 68 Virginia Farme Ln, Carlisle, MA 01741-1302 |
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