Organization
CMIPA FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE B. GLAZIER M.D. (PRESIDENT)
(508) 438-1100
Entity
Organization
Contact information
Practice address
250 HAMPTON ST, AUBURN, MA 01501-2584
(508) 438-1100
(508) 438-0236
Mailing address
446 MAIN STREET, 12TH FLOOR, WORCESTER, MA 01608
(508) 438-1100
(508) 438-0236
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/04/2010
Last updated
08/11/2014
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