Active NPIOrganization

Longfellow Wellesley Thc, LLC

Dietitian, Registered in Wellesley, Massachusetts

NPI Number1124860333
Practice location
140 Great Plain Ave, Wellesley, MA 02482-7208
Fax
—
Last updated
August 21, 2024

Longfellow Wellesley Thc, LLC is a healthcare organization based in Wellesley, MA. Longfellow Wellesley Thc, LLC practices in Wellesley, MA. The NPI Number for Longfellow Wellesley Thc, LLC is 1124860333. The current practice location address for Longfellow Wellesley Thc, LLC is 140 Great Plain Ave, Wellesley, MA 02482-7208 and can be reached out via phone at 508-653-4633.

Provider Profile Details

NPI Number
1124860333
Provider Name
Longfellow Wellesley Thc, LLC
Provider Entity Type
Organization
Address
140 Great Plain Ave, Wellesley, MA 02482-7208
Phone Number
508-653-4633
Primary Taxonomy
Dietitian, Registered · 133V00000X
Organization Subpart
No
Authorized Official
Miss Jane F Polley, MS RD, LDN · Nutrition Director · 508-653-4633
Other Names
Longfellow Wellesley Tennis And Health Club (Doing Business As)
Provider Enumeration Date
June 10, 2024
Last Update Date
August 21, 2024
Certification Date
June 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Great Plain Ave
Wellesley, MA 02482-7208
Zip
02482-7208
Phone Number
508-653-4633
Wellesley, MA 02482Get directions →

Provider Business Mailing Address Details

Address
140 Great Plain Ave
Wellesley, MA 02482-7208
City
Wellesley
State
MA
Zip
02482-7208

License Information

Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Longfellow Wellesley Thc, LLC?

The NPI number of Longfellow Wellesley Thc, LLC is 1124860333. It was assigned on June 10, 2024 and is currently active in the NPPES registry.

What is the specialty of Longfellow Wellesley Thc, LLC?

Longfellow Wellesley Thc, LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Longfellow Wellesley Thc, LLC practice?

The practice location is 140 Great Plain Ave, Wellesley, MA 02482-7208. The office can be reached at 508-653-4633 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124860333 directly on the NPPES registry website.

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