Organization
NORTHEAST NUTRITIONALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE CHEPELEFF (PRESIDENT)
(800) 359-1599
Entity
Organization
Contact information
Practice address
8 SHIRE DR, SUITE #3, NORFOLK, MA 02056-1580
(800) 359-1599
(774) 847-7944
Mailing address
8 SHIRE DR, SUITE #3, NORFOLK, MA 02056-1580
(800) 359-1599
(774) 847-7944
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
05/05/2009
Last updated
02/17/2011
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