Individual
TED RYAN HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RD, CSSD, LDN
Contact information
Practice address
1 PATRIOT PLACE, GILLETTE STADIUM, FOXBOROUGH, MA 02035-1388
(508) 549-0035
Mailing address
101 SOUTH AVE UNIT 902, ATTLEBORO, MA 02703-4590
(317) 626-7280
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
LD-0786
NM
133V00000X
Registered Dietitian
Primary
LDN-3478
MA
Other
Enumeration date
08/11/2010
Last updated
10/01/2013
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