| Van Dusen Nutrition | |
|
1492 Highland Ave Ste 4 Needham MA 02492-2606 | |
| (646) 369-2255 | |
| Not Available |
| Full Name | Van Dusen Nutrition |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1492 Highland Ave Ste 4, Needham, Massachusetts |
| Authorized Official Name and Position | Leigh Van Dusen (OWNER) |
| Authorized Official Contact | 7813431592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Van Dusen Nutrition 1492 Highland Ave Ste 4 Needham MA 02492-2606 Ph: (646) 369-2255 | Van Dusen Nutrition 1492 Highland Ave Ste 4 Needham MA 02492-2606 Ph: (646) 369-2255 |
| NPI Number | 1952892788 |
|---|---|
| Provider Enumeration Date | 05/29/2018 |
| Last Update Date | 05/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952892788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 3284 (Massachusetts) | Primary |
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