Individual
TIMOTHY LEE POPOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD, LD
Contact information
Practice address
105 PLEASANT STREET, CONCORD, NH 03302-1806
(603) 271-2283
Mailing address
105 PLEASANT STREET, CONCORD, NH 03302-1806
(603) 271-2283
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
874147
NH
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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