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Individual

MS. EMILIE SJOSTROM BURGESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RDN, LDN

Contact information

Practice address
3 BOW ST, CAMBRIDGE, MA 02138-5109
(617) 547-2255
Mailing address
213 FARMHOLME RD, STONINGTON, CT 06378-2205
(860) 857-8153

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86058869
MA

Other

Enumeration date
02/12/2018
Last updated
02/12/2018
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