NPI 1801538798 · live from the CMS NPI Registry
Iman Al-Bader, RD
Dietitian, Registered in Worcester, MA. National Provider Identifier 1801538798, active.
NPI record
| NPI | 1801538798 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 55 Lake Ave N, Worcester, MA 01655 |
| Practice phone | 781-308-1899 |
| Mailing address | 36 Washington Ave Unit 4, Waltham, MA 02453 |
| Enumerated | April 11, 2022 |
| Last updated | April 11, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.