Individual
RORY COSTIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 CONVERSE PL, WINCHESTER, MA 01890-2713
(617) 763-7044
Mailing address
65 VALLEY ST, MEDFORD, MA 02155-2500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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