Individual
MISS TARA MARDIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MPH, RD
Contact information
Practice address
44 BINNEY ST, SHIELDS WARREN 5TH FLOOR, BOSTON, MA 02115-6013
(617) 632-4723
Mailing address
61 BROOKLINE AVE, APT 217, BOSTON, MA 02215-3406
(617) 529-7784
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1791
MA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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