Individual
MARY KATHERINE GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, MPG, LDN
Contact information
Practice address
101 PAGE ST, DEPT. FOOD AND NUTRITION, NEW BEDFORD, MA 02740-3464
(508) 961-5160
(508) 961-5158
Mailing address
57 FRENCH ST, REHOBOTH, MA 02769-1729
(508) 252-4766
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
NU1381
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NU1381
PROFESSIONAL LICENSURE
MA
Enumeration date
10/04/2006
Last updated
07/08/2007
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