Healthcare Provider Details

I. General information

NPI: 1306817176
Provider Name (Legal Business Name): RISK MANAGMENT INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 02/28/2020
Certification Date: 02/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 MORSE CIR
SHIRLEY MA
01464-2908
US

IV. Provider business mailing address

16 MORSE CIR
SHIRLEY MA
01464-2908
US

V. Phone/Fax

Practice location:
  • Phone: 978-425-5785
  • Fax: 978-425-5783
Mailing address:
  • Phone: 978-425-5785
  • Fax: 978-425-5783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number772
License Number StateMA

VIII. Authorized Official

Name: CYNTHIA MILNER WOODMAN
Title or Position: PRESIDENT, CFO
Credential: MS, RDN, LDN
Phone: 978-425-5785