Doctor Name: | MS. IRENE T TIMLEGE |
NPI Number: | 1174656995 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED,RD,LDN |
License Number: | 995 |
Business Practice Address: | 123 Summer St Worcester, MA - 016081216 |
Business Phone Number: | 5083635000 |
Business Fax Number: | |
Mailing Address: | 63 Grove St, HOPKINTON |
State: | MA |
Postal Code: | 017481825 |
Phone Number: | 5084354774 |
Fax Number: | |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 995 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |