Healthcare Provider Details

I. General information

NPI: 1689481475
Provider Name (Legal Business Name): HEALTHFUL TELEHEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2024
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 WESTERN AVE
BOSTON MA
02163-1002
US

IV. Provider business mailing address

PO BOX 380751
CAMBRIDGE MA
02238-0748
US

V. Phone/Fax

Practice location:
  • Phone: 857-294-3900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: XIAO ZHANG
Title or Position: FOUNDER
Credential:
Phone: 857-294-3900