Individual
STACEY PANAGOTOPULOS FEDERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD,RD
Contact information
Practice address
24 NEWTON ST, SOUTHBOROUGH, MA 01772-1215
(508) 460-3291
(508) 453-8152
Mailing address
5 NEPONSET ST FL STREET2, WORCESTER, MA 01606-2714
(508) 368-5532
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
CDR963741
RI
Other
Enumeration date
09/25/2006
Last updated
02/19/2019
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