Individual
MS. MITALI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD,LDN
Contact information
Practice address
88 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-7470
Mailing address
88 E NEWTON ST, BOSTON, MA 02118-2308
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2912
MA
Other
Enumeration date
11/10/2011
Last updated
02/15/2012
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