Active NPIIndividual provider

Susan A Poludniak, RD, LDN

Dietitian, Registered in Roslindale, Massachusetts

NPI Number1194078220
Practice location
1200 Centre St, Department Of Medicine, Roslindale, MA 02131-1011
Fax
—
Last updated
October 26, 2012

Susan A Poludniak is a Dietitian, Registered based in Roslindale, MA. Susan A Poludniak practices in Roslindale, MA and has the professional credentials of RD, LDN. The NPI Number for Susan A Poludniak is 1194078220 and holds a License No. 2897 (MA). The current practice location address for Susan A Poludniak is 1200 Centre St, Department Of Medicine, Roslindale, MA 02131-1011 and can be reached out via phone at 978-946-1355.

Provider Profile Details

NPI Number
1194078220
Provider Name
Susan A Poludniak
Credential
RD, LDN
Provider Entity Type
Individual
Gender
Female
Address
1200 Centre St, Department Of Medicine, Roslindale, MA 02131-1011
Phone Number
978-946-1355
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
October 26, 2012
Last Update Date
October 26, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 Centre St
Department Of Medicine
Roslindale, MA 02131-1011
Zip
02131-1011
Phone Number
978-946-1355
Roslindale, MA 02131Get directions →

Provider Business Mailing Address Details

Address
1200 Centre St
Department Of Medicine
Roslindale, MA 02131-1011
City
Roslindale
State
MA
Zip
02131-1011
Phone Number
978-946-1355

License Information

License Number
2897
License State
MA
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 Susan A Poludniak, RD, LDN?

The NPI number of Susan A Poludniak, RD, LDN is 1194078220. It was assigned on October 26, 2012 and is currently active in the NPPES registry.

What is the specialty of Susan A Poludniak, RD, LDN?

Susan A Poludniak, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 2897.

Where does Susan A Poludniak, RD, LDN practice?

The practice location is 1200 Centre St, Department Of Medicine, Roslindale, MA 02131-1011. The office can be reached at 978-946-1355 (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 1194078220 directly on the NPPES registry website.

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