Individual
STACEY A ZAWACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
635 COMMONWEALTH AVE, ROOM 629, BOSTON, MA 02215-1605
(617) 358-5065
(617) 353-7567
Mailing address
635 COMMONWEALTH AVE, ROOM 629, BOSTON, MA 02215-1605
(617) 358-5065
(617) 353-7567
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
954
MA
Other
Enumeration date
01/11/2007
Last updated
09/07/2007
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