Healthcare Provider Details

I. General information

NPI: 1427487917
Provider Name (Legal Business Name): GOOD MEASURES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2013
Last Update Date: 10/26/2022
Certification Date: 10/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 ROWES WHARF STE 410
BOSTON MA
02110-3326
US

IV. Provider business mailing address

30 ROWES WHARF STE 410
BOSTON MA
02110-3326
US

V. Phone/Fax

Practice location:
  • Phone: 888-320-1776
  • Fax:
Mailing address:
  • Phone: 617-531-9149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number3522
License Number StateMA

VIII. Authorized Official

Name: MS. PATTI MCKENZIE
Title or Position: SR. VP, CLIENT OPERATIONS
Credential:
Phone: 617-531-9149