Healthcare Provider Details

I. General information

NPI: 1225672306
Provider Name (Legal Business Name): SARAH GILBERT MS, RDN, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2019
Last Update Date: 11/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 COMMONWEALTH AVE FL 6
BOSTON MA
02215-1605
US

IV. Provider business mailing address

160 CAMBRIDGEPARK DR APT 448
CAMBRIDGE MA
02140-2471
US

V. Phone/Fax

Practice location:
  • Phone: 617-353-2721
  • Fax:
Mailing address:
  • Phone: 508-361-1194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number4720
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: