Adi T Wyshogrod
Dietitian, Registered in Worcester, Massachusetts
1619449899- Practice location
- 49 Barry RD, Worcester, MA 01609-1138
- Phone
- 508-736-5453
- Fax
- —
- Last updated
- August 16, 2024
Adi Tova Wyshogrod is a Dietitian, Registered based in Worcester, MA. Adi Tova Wyshogrod practices in Worcester, MA. The NPI Number for Adi Tova Wyshogrod is 1619449899 and holds a License No. 86110390 (CA). The current practice location address for Adi Tova Wyshogrod is 49 Barry RD, Worcester, MA 01609-1138 and can be reached out via phone at 508-736-5453.
Provider Profile Details
- NPI Number
- 1619449899
- Provider Name
- Adi Tova Wyshogrod
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 49 Barry RD, Worcester, MA 01609-1138
- Phone Number
- 508-736-5453
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 27, 2018
- Last Update Date
- August 16, 2024
- Certification Date
- August 16, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 49 Barry RD
Worcester, MA 01609-1138 - City
- Worcester
- State
- Massachusetts
- Zip
- 01609-1138
- Phone Number
- 508-736-5453
Provider Business Mailing Address Details
- Address
- 265 Chelmsford St Ste 7
Chelmsford, MA 01824-2335 - City
- Chelmsford
- State
- MA
- Zip
- 01824-2335
License Information
- License Number
- 86110390
- License State
- CA
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Adi T Wyshogrod?
The NPI number of Adi T Wyshogrod is 1619449899. It was assigned on December 27, 2018 and is currently active in the NPPES registry.
What is the specialty of Adi T Wyshogrod?
Adi T Wyshogrod is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CA under license number 86110390.
Where does Adi T Wyshogrod practice?
The practice location is 49 Barry RD, Worcester, MA 01609-1138. The office can be reached at 508-736-5453 (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 1619449899 directly on the NPPES registry website.