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Individual

MARLENE O'DONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
111 GROSSMAN DR, BRAINTREE, MA 02184-4997
(617) 629-6444
(617) 629-6070
Mailing address
111 GROSSMAN DR, BRAINTREE, MA 02184-4997
(617) 629-6444
(617) 629-6070

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1403
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0015208
NEIGHBORHOOD HEALTH PLAN
MA
01
680078
TUFTS HEALTH PLAN
MA
01
LD0111
BLUE CROSS
MA
01
PQ116
HARVARD PILGRIM
MA
Enumeration date
02/10/2006
Last updated
01/08/2021
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