Individual
ABIGAIL BENSON LIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CSSD, LD
Contact information
Practice address
110 W SQUANTUM ST, NORTH QUINCY, MA 02171-2122
(617) 376-3000
Mailing address
110 W SQUANTUM ST, NORTH QUINCY, MA 02171-2122
(617) 376-3000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5518
MA
Other
Enumeration date
06/22/2022
Last updated
11/21/2023
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