Healthcare Provider Details

I. General information

NPI: 1528449196
Provider Name (Legal Business Name): HALEY ZUREK RD, CNSC, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2015
Last Update Date: 10/12/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 DAMON ST
NORTH READING MA
01864-2210
US

IV. Provider business mailing address

9 DAMON ST
NORTH READING MA
01864-2210
US

V. Phone/Fax

Practice location:
  • Phone: 603-498-1052
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number3269
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: