Individual
MELANIE ANN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
45 DIMOCK ST, ROXBURY, MA 02119-1208
(617) 442-8800
(617) 442-5840
Mailing address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
(617) 442-5840
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
2122
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA51738
HPHC
MA
05
—
BE-MT0813
—
MA
Enumeration date
03/05/2007
Last updated
01/27/2020
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