Organization
JESSICA EDELGLASS RD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA EDELGLASS RD (OWNER)
(781) 667-4440
Entity
Organization
Contact information
Practice address
1121 WASHINGTON ST STE 4, NEWTON, MA 02465-2150
(781) 667-4440
Mailing address
137 MYRTLE ST, ASHLAND, MA 01721-1140
(781) 667-4440
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3852
MA
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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