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Individual

MRS. BHAVINI S PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, LDN

Contact information

Practice address
555 TURNPIKE ST, SUITE #31, NORTH ANDOVER, MA 01845-5923
(978) 494-0075
(978) 494-4141
Mailing address
PO BOX 810, ANDOVER, MA 01810-0014
(978) 494-0075
(978) 494-4141

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2073
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MT0492
MEDICARE
MA
Enumeration date
09/26/2006
Last updated
03/08/2012
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