NPI 1285795187 · live from the CMS NPI Registry
Gaston Phillip Bathalon, PhD
Dietitian, Registered in Natick, MA. National Provider Identifier 1285795187, active.
NPI record
| NPI | 1285795187 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 42 Kansas St, Natick, MA 01760 |
| Practice phone | 508-233-4811 |
| Mailing address | 4 Vose Hill Rd, Maynard, MA 01754 |
| Enumerated | December 13, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 0740000164 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.