Organization
NUTRITION 365
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE CATHERINE COSTANZO RD, LD (OWNER)
(781) 858-2500
Entity
Organization
Contact information
Practice address
236 NORTH RD, DEERFIELD, NH 03037-1105
(781) 858-2500
Mailing address
236 NORTH RD, DEERFIELD, NH 03037-1105
(781) 858-2500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0631
NH
Other
Enumeration date
06/24/2017
Last updated
07/21/2022
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