Individual
MELANIE V CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6177
Mailing address
66 BARNES AVE, APT #3, EAST BOSTON, MA 02128-1213
(617) 680-6790
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
2176
MA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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