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NPI 1619699055 · live from the CMS NPI Registry

Siqian Chen, RD

Dietitian, Registered in Fall River, MA. National Provider Identifier 1619699055, active.

NPI record

NPI1619699055 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location301 Milliken Blvd Apt 201, Fall River, MA 02721
Practice phone646-598-3457
Mailing address3347 213th St, Bayside, NY 11361
EnumeratedSeptember 13, 2022
Last updatedJanuary 13, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered, Nutrition, Pediatric133VN1004XLDN01180 (RI)
Dietitian, Registered primary133V00000XLDN6792 (MA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.