Organization
BRIGHAM AND WOMEN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARA SUSANNE DEJONG R.D. (REGISTERED DIETITIAN)
(617) 732-5577
Entity
Organization
Contact information
Practice address
75 FRANCIS ST, TOWER 2, NUTRITION SERVICES, BOSTON, MA 02115-6110
(617) 732-5577
(617) 278-6929
Mailing address
75 FRANCIS ST, TOWER 2, NUTRITION SERVICES, BOSTON, MA 02115-6110
(617) 732-5577
(617) 278-6929
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
2417
MA
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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