Organization
ELLEN M BYRON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN M BYRON RDLDN/CDE (OWNER)
(978) 373-6809
Entity
Organization
Contact information
Practice address
215 SUMMER ST, SUITE 8, HAVERHILL, MA 01830-6320
(978) 373-6809
(978) 373-6808
Mailing address
215 SUMMER ST, SUITE 8, HAVERHILL, MA 01830-6320
(978) 373-6809
(978) 373-6808
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
494
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT0186
MEDICARE PROVIDER #
MA
Enumeration date
11/21/2007
Last updated
01/18/2008
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