Healthcare Provider Details

I. General information

NPI: 1508605585
Provider Name (Legal Business Name): ABOUT FRESH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2024
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

176 NORFOLK AVE
BOSTON MA
02119
US

IV. Provider business mailing address

6 LIBERTY SQ PMB 94126
BOSTON MA
02109
US

V. Phone/Fax

Practice location:
  • Phone: 617-286-2220
  • Fax:
Mailing address:
  • Phone: 617-286-2220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ADAM SHYEVITCH
Title or Position: CHIEF PROGRAM OFFICER
Credential:
Phone: 617-286-2220