Organization
BRENDA J. BAILLARGEON, RD, LDN
Active
Other names
Positive Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA J. BAILLARGEON RD, LDN (OWNER)
(508) 883-7322
Entity
Organization
Contact information
Practice address
31 HASTINGS ST, MENDON, MA 01756-1090
(508) 883-7322
Mailing address
PO BOX 506, MENDON, MA 01756-0506
(508) 883-7322
(508) 883-7322
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
378
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000LD0021
BCBS PROVIDER NUMBER
MA
01
—
0000LG0002
BCBS GROUP NUMBER
MA
01
—
000378
TUFTS PROVIDER NUMBER
MA
01
—
39476
HARVARD PILGRIM NUMBER
MA
01
—
MT0225
MEDICARE, PTAN
MA
Enumeration date
03/08/2007
Last updated
01/09/2009
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