Individual
MRS. SARA FARNAN COLLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD LDN
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-4926
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-4926
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
2932
MA
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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