Healthcare Provider Details

I. General information

NPI: 1730210121
Provider Name (Legal Business Name): MARIA M FESSIA RD LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 MAPLE ST HOLYOKE HEALTH CENTER
HOLYOKE MA
01040
US

IV. Provider business mailing address

110 BONNIE BRAE DR
WEST SPRINGFIELD MA
01089
US

V. Phone/Fax

Practice location:
  • Phone: 413-420-2281
  • Fax: 413-540-0957
Mailing address:
  • Phone: 413-420-2281
  • Fax: 413-540-0957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number1136
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1136
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: