Doctor Name: | MARA ROSE SANSEVERO |
NPI Number: | 1295951143 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | REGISTERED DIETITIAN |
License Number: | 2140 |
Business Practice Address: | 301 S Huntington Ave Brigham & Women's Advanced Primary Care Associates, Sh Jamaica Plain, MA - 021304807 |
Business Phone Number: | 8573073364 |
Business Fax Number: | |
Mailing Address: | 301 S Huntington Ave, Brigham & Women's Advanced Primary Care Associates, Sh JAMAICA PLAIN |
State: | MA |
Postal Code: | 021304807 |
Phone Number: | 8573073364 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 08/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2140 |
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 |