Individual
DR. GASTON PHILLIP BATHALON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
42 KANSAS ST, NATICK, MA 01760-2642
(508) 233-4811
(508) 233-5391
Mailing address
4 VOSE HILL RD, MAYNARD, MA 01754-2160
(978) 897-3472
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0740000164
VT
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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