Individual
BARBARA A. FARGNOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6444
Mailing address
147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8051
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1894
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030113
NEIGHBORHOOD HEALTH PLAN
MA
01
—
39423
HARVARD PILGRIM
MA
01
—
LD0117
BLUE CROSS
MA
Enumeration date
01/26/2006
Last updated
04/07/2009
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