Individual
CAITLYN B FAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD, LDN, CDCES
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN6769
MA
133VN1004X
Pediatric Nutrition Registered Dietitian
6769
MA
Other
Enumeration date
03/03/2023
Last updated
11/21/2023
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