Healthcare Provider Details

I. General information

NPI: 1477789816
Provider Name (Legal Business Name): LINDA BROWNING PH.D., R.D., L.D.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2009
Last Update Date: 05/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JOSLIN PL
BOSTON MA
02215-5306
US

IV. Provider business mailing address

1 JOSLIN PL
BOSTON MA
02215-5306
US

V. Phone/Fax

Practice location:
  • Phone: 617-653-2613
  • Fax: 617-732-2452
Mailing address:
  • Phone: 617-653-2613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number2876
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: