Organization
VAN DUSEN NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH VAN DUSEN MS, LDN (OWNER)
(781) 343-1592
Entity
Organization
Contact information
Practice address
1492 HIGHLAND AVE STE 4, NEEDHAM, MA 02492-2606
(646) 369-2255
Mailing address
1492 HIGHLAND AVE STE 4, NEEDHAM, MA 02492-2606
(646) 369-2255
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
3284
MA
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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