Individual
MARGARET Y. IP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D. L.D.N.
Contact information
Practice address
145 SOUTH ST, BOSTON, MA 02111-2826
(617) 521-6777
Mailing address
145 SOUTH ST, BOSTON, MA 02111-2826
(617) 521-6777
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
528
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD0075
BCBSMA LEGACY NUMBER
MA
Enumeration date
09/20/2007
Last updated
09/20/2007
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