Individual
MRS. CAROLYN C. HINTLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
294 WASHINGTON ST, SUITE 219, BOSTON, MA 02108-4634
(978) 815-9502
Mailing address
9 MANNING ST, IPSWICH, MA 01938-1932
(978) 356-7896
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
477
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39404
HARVARD PILGRIM HEALTHCAR
MA
01
—
467334
TUFTS HEALTH PLAN
MA
01
—
LD0058
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
07/14/2006
Last updated
07/08/2007
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