NPI 1841593043 · live from the CMS NPI Registry
Matthew Dirzius, RD
Dietitian, Registered in Providence, RI. National Provider Identifier 1841593043, active.
NPI record
| NPI | 1841593043 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 164 Summit Ave, Providence, RI 02906 |
| Practice phone | 401-793-2626 |
| Enumerated | December 9, 2010 |
| Last updated | December 9, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 987476 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.