Individual
BRIDGITTE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D.N., L.D.N.
Contact information
Practice address
342 BROADWAY, CAMBRIDGE, MA 02139-1843
(419) 320-8687
Mailing address
342 BROADWAY, CAMBRIDGE, MA 02139-1843
(419) 320-8687
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4165
MA
133V00000X
Registered Dietitian
LDN00887
RI
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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