Individual
MS. INGER K HUSTRULID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LDN ACSM
Contact information
Practice address
20 CARTHAY CIR, NEWTON, MA 02461-1106
(617) 244-8444
Mailing address
20 CARTHAY CIR, NEWTON, MA 02461-1106
(617) 244-8444
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2168
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
466524
TUFTS
MA
01
—
AA17456
HARVARD PILGRIM
MA
01
—
LD0158
BLUE CROSS - PROVIDER NUM
MA
01
—
LG0027
BLUE CROSS - GROUP NUMBER
MA
Enumeration date
09/24/2006
Last updated
06/08/2010
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