Individual
CAROL A HALADYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1 LYONS ST, DEDHAM, MA 02026-5599
(781) 329-1400
(781) 278-5667
Mailing address
PO BOX 9120, DEDHAM, MA 02027-9120
(781) 329-1400
(781) 278-5664
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
139
MA
133V00000X
Registered Dietitian
497
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
634102
TUFTS SECURE HORIZON
—
01
—
LD0020
BSBLUE CARE ELECT
—
Enumeration date
06/30/2005
Last updated
05/20/2022
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