NPI 1093040073 · live from the CMS NPI Registry
Tobie Susan Becker, R.D.,L.D.
Dietitian, Registered in Worcester, MA. National Provider Identifier 1093040073, active.
NPI record
| NPI | 1093040073 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 255 Park Ave, Suite 210, Worcester, MA 01609 |
| Practice phone | 508-754-8000 |
| Mailing address | 35 Wayside Rd, Westborough, MA 01581 |
| Enumerated | October 8, 2009 |
| Last updated | October 8, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1740 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.