Individual
ANN E WESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6515
Mailing address
594 WASHINGTON ST, UNIT 5, WELLESLEY, MA 02482-6406
(781) 235-1579
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
61
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120445
—
MA
Enumeration date
10/26/2006
Last updated
07/08/2007
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