Individual
DR. INDIRA DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.SC., RD, LDN
Contact information
Practice address
14 CLEMENTS RD, NEWTON, MA 02458-2618
(617) 964-1220
(508) 875-8872
Mailing address
14 CLEMENTS RD, NEWTON, MA 02458-2618
(617) 964-1220
(508) 875-8872
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1785
MA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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