Individual
KAREN S DIPIETRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
215 SUMMER ST, SUITE 8, HAVERHILL, MA 01830-6320
(978) 373-6809
Mailing address
18 BRICKETT AVE, HAVERHILL, MA 01830-6504
(978) 374-2050
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN1777
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
LICENSED DIETITIAN
NH
01
—
70010000LD0157
BLUE CROSS BLUE SHIELD
MA
01
—
LDN1777
STATE LICENSURE
MA
Enumeration date
11/06/2006
Last updated
07/08/2007
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