Organization
PIONEER VALLEY NUTRITION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. POLLY ANN OBREMSKI RD, LDN, CDE (OWNER)
(413) 584-2200
Entity
Organization
Contact information
Practice address
39 CARLON DR, NORTHAMPTON, MA 01060-2374
(413) 584-2200
(413) 584-2255
Mailing address
39 CARLON DR, NORTHAMPTON, MA 01060-2374
(413) 584-2200
(413) 584-2255
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2232
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11326384
CAQH NUMBER
MA
01
—
35122
HEALTH NEW ENGLAND
MA
01
—
4609501
CIGNA NUMBER
MA
01
—
AA59459
HARVARD PILGRIM
MA
01
—
LG0035
BCBS GROUP NUMBER
MA
01
—
MT0840
MEDICARE
MA
Enumeration date
06/01/2006
Last updated
05/22/2009
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