Organization
FOUNDATIONS FAMILY NUTRITION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGER HUSTRULID RD LDN ACSM (CEO)
(617) 577-0020
Entity
Organization
Contact information
Practice address
20 CARTHAY CIR, NEWTON, MA 02461-1106
(617) 244-8444
Mailing address
20 CARTHAY CIR, NEWTON, MA 02461-1106
(617) 244-8444
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2168
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LG0158
BLUE CROSS - GROUP NUMBER
MA
Enumeration date
09/20/2006
Last updated
06/08/2010
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