Individual
SHAUN M FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LDN
Contact information
Practice address
510 NORTH ST STE 6, PITTSFIELD, MA 01201-4117
(413) 445-9243
Mailing address
510 NORTH ST STE 6, PITTSFIELD, MA 01201-4117
(413) 445-9243
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4923-NU-NU
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4923-NU-NU
MASSACHUSETTS DEPARTMENT OF PUBLIC LICENSURE
MA
Enumeration date
10/16/2019
Last updated
10/16/2019
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