Individual
ELIZABETH PURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
15 FRANCIS ST, BOSTON, MA 02115-6105
(617) 732-6054
Mailing address
101 COLUMBIAN ST RM 219, SOUTH WEYMOUTH, MA 02190-1601
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4664
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548736614
—
MA
Enumeration date
10/16/2018
Last updated
07/31/2019
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